CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Novant Health Brunswick Medical Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $102
Cash Discount Price: $83
vs. Medicare Baseline: 9.66x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Novant Health Brunswick Medical Center is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 9.66x the Medicare baseline. Located in 1 Medical Center Dr Po Box 139, Supply, NC.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$102

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: $83 (786%)

Insurance Median: $102 (966%)

Cash: $83 (786% of Medicare)

Ins. Median: $102 (966% 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 966% of the Medicare baseline (a markup of 866%). 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
Blue Cross Blue Shield	$11 - $119	104%
Humana	$11 - $142	104%
Pace Of The Southern Piedmont	$11	104%
UnitedHealthcare	$11 - $101	104%
Aetna	$12 - $140	114%
Cigna	$12 - $92	114%
Liberty Health	$12	114%
New Hanover Health Advantage	$12	114%
Carolina Complete	$23	218%
Nc Department Of Public Safety	$23	218%
Amerihealth	$24	227%
Wellcare	$24	227%
Ambetter / Centene	$25	237%
Caresource North Carolina	$66	625%
Atlantic Corporation Dba Atlantic Packaging	$89	843%
Amps	$91	862%
Plotkin Health	$99	938%
Medcost	$124 - $138	1174%
Transformhealth	$132	1250%
Multiplan	$148	1402%
Phcs	$148	1402%
Employers Choice Network	$160	1515%
Three Rivers Provider Network	$160	1515%

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 $83.
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 Novant Health Brunswick Medical 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.