CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Schuyler Hospital

Billing Code: 80053 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$22
about 2.0× the $11 Medicare rate · typically $9–$51
modeled estimate · not a bill or quote
Medicare pays $11 Fair price $22 Cash price $47 Hospital's list price $234

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $17 - $164 161%
Blue Cross Blue Shieldmajor $72 - $145 682%
Aetnamajor $26 246%
Cignamajor $117 - $140 1108%
Fidelis Care $32 - $117 303%
Independent Health $225 2131%
WellCare $117 1108%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 220 Steuben Street, Montour Falls, NY 14865
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals