CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Sanford Westbrook Medical Center

Billing Code: 80053 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$47

about 4.3× the $11 Medicare rate · typically $11–$143

modeled estimate · not a bill or quote

Medicare pays $11 Fair price $47 Cash price $197 Hospital's list price $246

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$114 - $205	1080%
Blue Cross Blue Shieldmajor	$74 - $148	701%
Aetnamajor	$114 - $214	1080%
Cignamajor	$221	2093%
Health Net	$221	2093%
HealthPartners	$114 - $197	1080%
Medica	$216 - $233	2045%
Sanford Health Plan	$105 - $228	994%
Security Health Plan	$135	1278%
UCare	$113 - $216	1070%
+ 2 smaller / regional plans	$116 - $221

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 197), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 80053.

Insurance Before you use insurance

Call your insurance company to confirm Sanford Westbrook Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 80053.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sanford Westbrook Medical Center

Compare: Blood test, comprehensive metabolic panel at other MN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.