CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Ste Genevieve County Memorial Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $47
Cash Discount Price: $54
vs. Medicare Baseline: 4.45x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Ste Genevieve County Memorial Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 4.45x the Medicare baseline. Located in Hwys 61 & 32, Sainte Genevieve, MO.

Cash / Self-Pay

$54

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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: $54 (511%)

Insurance Median: $47 (445%)

Cash: $54 (511% of Medicare)

Ins. Median: $47 (445% 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 445% of the Medicare baseline (a markup of 345%). 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
Aetna	$8 - $143	76%
Allwell	$8 - $47	76%
Blue Cross Blue Shield	$8 - $138	76%
Medicare (plans)	$8 - $46	76%
Va	$8 - $46	76%
Pphp	$9 - $53	85%
Ambetter / Centene	$10 - $58	95%
Healthy_Blue	$10	95%
Homestate	$10	95%
Medicaid / KanCare	$10	95%
Uhc_Community	$10	95%
UnitedHealthcare	$15 - $93	142%
Meritain	$23 - $143	218%
Cigna	$25 - $153	237%
Multiplan/Phcs	$26 - $158	246%
Healthlink_Compmanagement	$77	729%
Healthlink_Hmo	$77	729%
Healthlink_Ppo	$77	729%

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 $54.
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 Ste Genevieve County Memorial 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.