CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Bertrand Chaffee Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $11
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Bertrand Chaffee Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.04x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
$16

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: $16 (152%)
Insurance Median: $11 (104%)
Cash: $16 (152% 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.

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%
Senior Blue - Bc $7 66%
Iha Essential Plans $8 - $9 76%
Iha Medisource $8 - $9 76%
Iha $9 85%
Iha Custom Coverage $9 85%
Iha Encompass 65 $9 - $11 85%
Univera Essential Plans $9 85%
Univera Hc Child Health+ $9 85%
Univera Hc Myhealth+ $9 - $10 85%
Univera Plus Med $9 85%
Comm Blue Essential $10 95%
Community Blue $10 95%
Community Care - Bc $10 95%
Fidelis Care Of New York $10 95%
Fidelis Essential Plans $10 95%
Ghi Medical $10 95%
Gowanda Correctional Fac $10 95%
Medicaid / KanCare $10 95%
Molina Essential Plan $10 95%
Molina Heathcare Of Wny $10 95%
Seneca Nation Health Dept $10 95%
United Hc - Community Pln $10 95%
United Hc Essential Plan $10 95%
Univera Hc Myhealth $10 95%
Yourcare $10 95%
Advantra-Mcr Advantage $11 104%
Aetna $11 - $19 104%
Centers Plan Hlty Living $11 104%
Champva $11 104%
Cigna $11 - $19 104%
Ctrs Plan For Hlthy Livng $11 104%
Geisinger Health Plan $11 104%
Humana $11 104%
Lifetime Benefits $11 104%
Medicare (plans) $11 104%
Mutual Of Omaha $11 104%
Nova Healthcare $11 104%
Optimum Healthcare - Mcr $11 104%
Todays Option - Amer Prog $11 104%
Tricare $11 104%
United Hc Mcr Solutions $11 104%
UnitedHealthcare $11 104%
Univera Healthcare $11 - $12 104%
Univera Senior Choice $11 104%
Wellcare $11 104%
Private Pay $16 152%
American Progressive Ins. $19 180%
Commercial / Misc $19 180%
Global Excel Mgt $19 180%
Guardian Life Ins. Co. $19 180%
Mvp Commercial $19 180%
No Amer Meritian Health $19 180%
No-Fault $19 180%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 224 East Main Street, Springville, NY 14141
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals