CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Barnes Jewish Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $275
Cash Discount Price: $262
vs. Medicare Baseline: 26.04x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Barnes Jewish Hospital is $275. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $262. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 26.04x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.

Cash / Self-Pay

$262

Average discount available for prompt cash payment at this facility.

Insurance Median

$275

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: $262 (2481%)

Insurance Median: $275 (2604%)

Cash: $262 (2481% of Medicare)

Ins. Median: $275 (2604% 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 2604% of the Medicare baseline (a markup of 2504%). 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
UnitedHealthcare	$11 - $324	104%
Healthscope Benefits [258]	$13 - $283	123%
Cigna	$15 - $349	142%
Aetna	$20 - $327	189%
Allied Benefits [498]	$20 - $324	189%
Consociate [478]	$20	189%
Coresource [497]	$20	189%
Fmh Benefit Service Inc [222]	$20	189%
Mail Handlers [495]	$20	189%
Sarah Bush Lincoln [636]	$20	189%
Apwu Health Plan [216]	$25	237%
Nalc Health Benefit Plan [242]	$25	237%
Priority Health [648]	$25	237%
Blue Cross Blue Shield	$33 - $379	313%
Humana	$35	331%
Mercy Behavioral Health [573]	$109	1032%
Healthlink [225]	$211 - $329	1998%
Cox Health Systems Insurance Company [220]	$240 - $283	2273%
Health Alliance [224]	$240	2273%
Hope Trust [806]	$253	2396%
Med-Pay [480]	$283 - $327	2680%
Unicare [568]	$283 - $329	2680%
First Health Commercial [734]	$324	3068%
Beechstreet [551]	$327	3097%
Detego Health [868]	$327	3097%
Health Systems Inc [620]	$327	3097%
Healthcare Sol Mercy [609]	$327	3097%
Multiplan Commercial [737]	$327	3097%
Multiplan [240]	$327	3097%
Phcs [244]	$327 - $349	3097%
Preferred Health Professionals [561]	$329	3116%
Medica [661]	$349	3305%
Hfn [563]	$371	3513%

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 $262.
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 Barnes Jewish Hospital 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.