CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: Penobscot Valley Hospital
Billing Code: 80053 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$59
about 5.4× the $11 Medicare rate · typically $18–$84
modeled estimate · not a bill or quote
Medicare pays $11 Fair price $59 Cash price $92 Hospital's list price $115
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $17 - $154 | 161% |
| Blue Cross Blue Shieldmajor | $18 - $142 | 170% |
| Aetnamajor | $18 - $184 | 170% |
| Cignamajor | $35 - $180 | 331% |
| Humanamajor | $17 - $89 | 161% |
| Harvard Pilgrim | $36 - $183 | 341% |
| WellCare | $17 - $89 | 161% |
Government programs also on file: Medicare.
Self-Pay How to get the cash price
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Other Procedures at Penobscot Valley Hospital
Compare: Blood test, comprehensive metabolic panel at other ME hospitals
- Mainehealth Mid Coast Hospital · Brunswick $11
- Central Maine Medical Center · Lewiston $11
- Cary Medical Center · Caribou $11
- Mainehealth Pen Bay Hospital · Rockport $11
- Mainehealth Maine Medical Center · Portland $12
- Mainehealth Stephens Hospital · Norway $12
- Lincolnhealth · Damariscotta $13
- Mainehealth Franklin Hospital · Farmington $13
Insurance negotiated median for the same procedure, sorted lowest first.