CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: NYU Langone Hospitals

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $31
Cash Discount Price: $13
vs. Medicare Baseline: 2.94x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at NYU Langone Hospitals is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 2.94x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

$13

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $13 (123%)

Insurance Median: $31 (294%)

Cash: $13 (123% of Medicare)

Ins. Median: $31 (294% 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 294% of the Medicare baseline (a markup of 194%). 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
Fidelis	$10 - $204	95%
Healthfirst	$10 - $204	95%
Healthplus	$10 - $204	95%
Centerlight	$11	104%
Ghi	$11 - $12,574	104%
Hip	$11 - $8,427	104%
Medicare (plans)	$11	104%
Wellcare	$11	104%
1199	$12	114%
Oxford	$12	114%
UnitedHealthcare	$12 - $204	114%
Metroplus	$15 - $204	142%
Hamaspik	$16	152%
Cigna	$23	218%
Blue Cross Blue Shield	$25 - $31	237%
Aetna	$27 - $941	256%
Medicaid / KanCare	$47 - $91	445%
Somos	$49 - $122	464%
Amida	$97 - $100	919%
Multiplan	$254 - $734	2405%
Magnacare	$13,453 - $25,798	127396%

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 $13.
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 NYU Langone Hospitals 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.