CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Centerpoint Medical Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $22
Cash Discount Price: $804
vs. Medicare Baseline: 2.08x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Centerpoint Medical Center is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $804. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 2.08x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

$804

Average discount available for prompt cash payment at this facility.

Insurance Median

$22

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: $804 (7614%)

Insurance Median: $22 (208%)

Cash: $804 (7614% of Medicare)

Ins. Median: $22 (208% 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 208% of the Medicare baseline (a markup of 108%). 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
Cigna	$5 - $643	47%
Aetna	$10 - $410	95%
Blue Cross Blue Shield	$10 - $370	95%
Coventry	$10 - $323	95%
Amerigroup	$11	104%
Celtic	$11	104%
Devoted Health	$11	104%
Healthyblue	$11	104%
Home State Health Plan	$11	104%
Humana	$11 - $26	104%
Medicaid / KanCare	$11	104%
Pyramid Life	$11	104%
Unicare	$11	104%
United	$11 - $362	104%
Wellcare	$11	104%
Oscar	$16	152%
Multiplan	$19 - $595	180%
Corvel Corporation	$22 - $523	208%
Oha Network	$23 - $402	218%
Ambetter / Centene	$150	1420%
Nhc Advantage	$153	1449%
Wppa Providrs Care Network	$161	1525%
Universal Healthcare	$281	2661%
Coventry Kc Mo	$330	3125%
College Park Family Care Center	$346	3277%
Global Sports Services	$643	6089%
Cco, Inc.	$683	6468%
Focus Healthcare Mgmt, Inc	$724	6856%

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 $804.
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 Centerpoint Medical Center 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.