CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Northern Nevada Medical Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $175
Cash Discount Price: $369
vs. Medicare Baseline: 16.57x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Northern Nevada Medical Center is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $369. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 16.57x the Medicare baseline. Located in 2375 E Prater Way, Sparks, NV.

Cash / Self-Pay

$369

Average discount available for prompt cash payment at this facility.

Insurance Median

$175

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: $369 (3494%)

Insurance Median: $175 (1657%)

Cash: $369 (3494% of Medicare)

Ins. Median: $175 (1657% 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 1657% of the Medicare baseline (a markup of 1557%). 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	$7	66%
Molina	$7	66%
Silver_Summit	$7	66%
Smart_Choice	$7	66%
Humana	$11 - $630	104%
United_Healthcare	$16	152%
Prominence	$93 - $283	881%
Sierra_Health_Options	$97 - $294	919%
Cigna	$98 - $430	928%
Nevada_Preferred_Providers	$121 - $367	1146%
Aetna	$124 - $952	1174%
Multiplan	$330 - $998	3125%

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 $369.
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 Northern Nevada 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.