CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Mosaic Life Care at St Joseph

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $95
Cash Discount Price: $196
vs. Medicare Baseline: 9.00x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Mosaic Life Care at St Joseph is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 9.00x the Medicare baseline. Located in 5325 Faraon Street, Saint Joseph, MO.

Cash / Self-Pay

$196

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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%)

Cash / Self-Pay: $196 (1856%)

Insurance Median: $95 (900%)

Cash: $196 (1856% of Medicare)

Ins. Median: $95 (900% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 900% of the Medicare baseline (a markup of 800%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerigroup Of Iowa	$10 - $15	95%
Iowa Total Care	$10 - $15	95%
Molina Of Iowa	$10 - $15	95%
Aetna	$11 - $190	104%
Blue Cross Blue Shield	$11 - $200	104%
Medicaid / KanCare	$11	104%
UnitedHealthcare	$11 - $324	104%
Ambetter / Centene	$21	199%
Multiplan	$48 - $207	455%
Centurion	$78 - $161	739%
Geha Shared Services	$90 - $187	852%
Freedom Select Healthlink	$95 - $197	900%
Healthlink Open Access	$95 - $197	900%
Preferred Health Professional	$95 - $197	900%
Sisco	$95 - $197	900%
Cigna	$98 - $202	928%
Home State Of Missouri	$334	3163%
Healthy Blue Of Missouri	$409	3873%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $196.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80053.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mosaic Life Care at St Joseph is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80053.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.