CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Wyandotte Hospital and Medical Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $11
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Wyandotte Hospital and Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.04x the Medicare baseline. Located in 2333 Biddle Ave, Wyandotte, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$10.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $10.56 (100%)
Insurance Median: $11 (104%)
Ins. Median: $11 (104% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $10.56 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Hap $2 - $21 19%
Aetna $6 - $30 57%
Mclaren $6 57%
Meridian Health Plan Of Mi $6 - $14 57%
Molina $6 - $14 57%
Priority Health $6 - $37 57%
Humana $9 - $11 85%
Pace Of Se Mi $10 95%
Bcn $11 104%
Blue Cross Blue Shield $11 - $22 104%
Cca Health Michigan $11 104%
Hap Caresource $11 104%
Mclaren Health $11 - $28 104%
Molina Mi Health Link $11 104%
Mount Carmel Health Plan $11 104%
UnitedHealthcare $11 - $13 104%
Wellcare $11 104%
Cofinity Group Health $24 - $33 227%
Vitalcore Physicians Group Of Mi $32 303%
Cigna $44 417%
Multiplan, Inc. $44 417%
University Of Michigan $52 492%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2333 Biddle Ave, Wyandotte, MI 48192
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals