CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Madison Health

Billing Code: 80053 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$17
about 1.5× the $11 Medicare rate · typically $11–$36
modeled estimate · not a bill or quote
What this hospital charges insurers
$11
Below the fair price — a good deal
about $6 under the fair price · 1.0× Medicare
Medicare pays $11 Fair price $17 This hospital $11 Cash price $46 Hospital's list price $58

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 0 charge more and 4 charge less, among the 9 OH hospitals compared.

Cheapest $8 Priciest $11

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood test, comprehensive metabolic panel is about $17 (about 1.5× the $11 Medicare rate). Madison Health charges insurers about $11, or about $46 in cash — below the fair price — a good deal. Located in London, OH.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $11 104%
Ambetter (Centene) $16 152%
CareSource $11 - $17 104%
Molina $11 - $16 104%
+ 1 smaller / regional plan $11

Self-Pay How to get the cash price

Insurance Before you use insurance

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

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Facility Profile & Credentials

  • Address: 210 North Main Street, London, OH 43140
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals