CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Parkland Health Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $237
Cash Discount Price: $215
vs. Medicare Baseline: 22.44x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Parkland Health Center is $237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $215. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 22.44x the Medicare baseline. Located in 1101 W Liberty, Farmington, MO.

Cash / Self-Pay

$215

Average discount available for prompt cash payment at this facility.

Insurance Median

$237

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: $215 (2036%)

Insurance Median: $237 (2244%)

Cash: $215 (2036% of Medicare)

Ins. Median: $237 (2244% 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 2244% of the Medicare baseline (a markup of 2144%). 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 - $266	104%
Healthscope Benefits [258]	$13 - $233	123%
Consociate [478]	$18	170%
Sarah Bush Lincoln [636]	$18	170%
Cigna	$20 - $286	189%
Blue Cross Blue Shield	$25 - $311	237%
Mercy Behavioral Health [573]	$90	852%
Aetna	$163 - $268	1544%
Healthlink [225]	$174 - $270	1648%
Cox Health Systems Insurance Company [220]	$197 - $233	1866%
Health Alliance [224]	$197	1866%
Allied Benefits [498]	$208 - $266	1970%
Hope Trust [806]	$208	1970%
Coresource [497]	$216	2045%
Fmh Benefit Service Inc [222]	$216	2045%
Mail Handlers [495]	$216	2045%
Med-Pay [480]	$233 - $268	2206%
Unicare [568]	$233 - $270	2206%
Humana	$238	2254%
Apwu Health Plan [216]	$246	2330%
Nalc Health Benefit Plan [242]	$246	2330%
Priority Health [648]	$246	2330%
First Health Commercial [734]	$266	2519%
Beechstreet [551]	$268	2538%
Detego Health [868]	$268	2538%
Health Systems Inc [620]	$268	2538%
Healthcare Sol Mercy [609]	$268	2538%
Multiplan Commercial [737]	$268	2538%
Multiplan [240]	$268	2538%
Phcs [244]	$268 - $286	2538%
Preferred Health Professionals [561]	$270	2557%
Hfn [563]	$286	2708%
Medica [661]	$286	2708%

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 $215.
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 Parkland Health 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.