CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: University of Missouri Health Care

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $86
Cash Discount Price: $458
vs. Medicare Baseline: 8.14x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at University of Missouri Health Care is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $458. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 8.14x the Medicare baseline. Located in One Hospital Drive, Columbia, MO.

Cash / Self-Pay

$458

Average discount available for prompt cash payment at this facility.

Insurance Median

$86

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: $458 (4337%)

Insurance Median: $86 (814%)

Cash: $458 (4337% of Medicare)

Ins. Median: $86 (814% 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 814% of the Medicare baseline (a markup of 714%). 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
Healthy Blue	$14	133%
United Community	$14	133%
Home State	$15	142%
UnitedHealthcare	$15 - $17	142%
Medica With Mu Health	$17	161%
Coventry Health Plan	$19	180%
Blue Cross Blue Shield	$33	313%
Aetna	$39 - $1,065	369%
Healthlink	$46	436%
Immergun	$50 - $484	473%
Coventry Health Plan National	$108 - $1,037	1023%
Mercy	$108 - $1,037	1023%
Cox Health Network	$115 - $1,106	1089%
Cigna	$122 - $1,176	1155%
Multiplan	$126 - $1,217	1193%

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 $458.
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 University of Missouri Health Care 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.