CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Ohio State University State Health System

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $92
Cash Discount Price: Unavailable
vs. Medicare Baseline: 8.71x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Ohio State University State Health System is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 8.71x the Medicare baseline. Located in 410 West 10Th Avenue, Columbus, OH.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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%)

Insurance Median: $92 (871%)

Ins. Median: $92 (871% 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 871% of the Medicare baseline (a markup of 771%). 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
Aetna	$11 - $195	104%
Blue Cross Blue Shield	$11 - $235	104%
Buckeye Community	$11 - $16	104%
Caresource	$11 - $16	104%
Healthspan	$11 - $116	104%
Humana	$11 - $49	104%
Medicare (plans)	$11	104%
Medigold	$11	104%
Mmo	$11 - $12	104%
Molina	$11 - $18	104%
United	$11	104%
Upper Ohio Valley	$11 - $160	104%
Cigna	$62	587%
Osu Health Plan	$75 - $121	710%
Ohio Ppo	$90 - $108	852%
Odrc	$98	928%
Ohiohealth	$157 - $182	1487%
Lifetrac	$165	1563%
Frontpath	$194	1837%
Multiplan	$194	1837%
Healthsmart	$218	2064%

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 $X.
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 Ohio State University State Health System 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.