CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $11
Cash Discount Price: $200
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Memorial Mission Hospital and Asheville Surgery Ce is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $200. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.04x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.

Cash / Self-Pay

$200

Average discount available for prompt cash payment at this facility.

Insurance Median

$11

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: $200 (1894%)

Insurance Median: $11 (104%)

Cash: $200 (1894% of Medicare)

Ins. Median: $11 (104% 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.

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
Apex Health	$2 - $78	19%
Blue Cross Blue Shield	$2 - $71	19%
Partners Health Management	$2 - $75	19%
United	$2 - $229	19%
Vaya Health	$2 - $75	19%
Wellcare	$2 - $73	19%
Cigna	$4 - $193	38%
Caresource	$5 - $171	47%
Medcost	$6 - $330	57%
Magellan	$7 - $233	66%
Magellan Behavioral Health	$7 - $233	66%
Aetna	$8 - $281	76%
Multiplan	$9 - $310	85%
Avalon Administrative Services	$10 - $330	95%
Prime Health	$10 - $349	95%
Alignment Health	$11	104%
Ambetter / Centene	$11	104%
Amerihealth	$11	104%
Humana	$11	104%
Provider Partners Health Plan	$11	104%
Pruitthealth Premier	$11	104%
Troy Healthcare	$11	104%
United Behavioral Health	$11	104%
Amerihealth Caritas	$12 - $15	114%
Healthteam Advantage	$12	114%
Longevity Health Plan	$13	123%
Oscar	$13	123%

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 $200.
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 Memorial Mission Hospital and Asheville Surgery Ce 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.