CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Neshoba County General Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $21
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Neshoba County General Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.99x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $68 (644%)
Insurance Median: $21 (199%)
Cash: $68 (644% of Medicare)
Ins. Median: $21 (199% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Magnolia Mcaid $10 95%
Molina Mcaid $10 95%
Mpcn Mcaid $10 95%
Tricare $10 95%
UnitedHealthcare $10 - $84 95%
Humana $11 104%
Magnolia Mcr Adv-All Other Plans $11 104%
Molina Comm-All Other Plans $11 104%
Molina Mcr Adv $11 104%
Wellcare Mcr Adv-All Plans $11 104%
Aetna $13 - $84 123%
First Choice Comm Ip/Op Only - All Plans $13 123%
Cigna $17 - $110 161%
Ahs Ip/Op Only-All Plans $20 - $127 189%
Blue Cross Blue Shield $21 - $135 199%
Affordable Health Care-All Plans $22 - $144 208%
Health Choice Ip/Op Only-All Plans $22 - $144 208%
Health Link Ip/Op Only-All Plans $22 - $144 208%
Geha-All Plans $23 - $152 218%
Multiplan-All Plans $23 - $152 218%
Mpcn Ip/Op Only-All Other Plans $32 - $211 303%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL