CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: Mount Carmel Dublin
Billing Code: 80053 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80053
- Insurance Median: $44
- Cash Discount Price: $62
- vs. Medicare Baseline: 4.17x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Mount Carmel Dublin is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 4.17x the Medicare baseline. Located in 4105 Emerald Pkwy, Dublin, OH.
Cash / Self-Pay
$62
Average discount available for prompt cash payment at this facility.
Insurance Median
$44
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: $62 (587%)
Insurance Median: $44 (417%)
Cash: $62 (587% of Medicare)
Ins. Median: $44 (417% 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 417% of the Medicare baseline (a markup of 317%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $9 - $11 | 85% |
| Aetna | $10 - $43 | 95% |
| Blue Cross Blue Shield | $10 - $95 | 95% |
| Rural Carrier Health Benefit Plan | $10 | 95% |
| Oscar | $11 | 104% |
| The Health Plan | $11 | 104% |
| UnitedHealthcare | $11 - $69 | 104% |
| Medical Mutual | $19 - $28 | 180% |
| Enterprise Group Planning | $20 | 189% |
| Custom Design Benefits | $22 | 208% |
| Quality Care Partners | $24 | 227% |
| Western & Southern Financial Group | $28 | 265% |
| American Postal Workers Secondary | $43 | 407% |
| Cigna | $43 | 407% |
| Geha | $43 - $69 | 407% |
| Gravie Admin Services | $43 | 407% |
| Health Partners | $43 | 407% |
| Healthez | $43 | 407% |
| Healthgram | $43 | 407% |
| Meritain | $43 | 407% |
| Mvp | $43 | 407% |
| Priority Health | $43 | 407% |
| Webtpa | $43 | 407% |
| Access Health | $44 | 417% |
| Acclaim | $44 | 417% |
| Administrative Concepts | $44 | 417% |
| Allegeant | $44 | 417% |
| Allied Benefit Systems | $44 | 417% |
| American Family | $44 | 417% |
| American Healthcare Alliance | $44 | 417% |
| American National | $44 | 417% |
| American Republic | $44 | 417% |
| Amerihealth | $44 | 417% |
| Aultcare | $44 | 417% |
| Automated Benefit Services | $44 | 417% |
| Auxiant | $44 | 417% |
| Benefit Administrative Systems,Llc | $44 | 417% |
| Boon Chapman | $44 | 417% |
| Cam Administrative Services | $44 | 417% |
| Christian Brother Services | $44 | 417% |
| Christian Brothers Holy Cross | $44 | 417% |
| Claimchoice Adminstrators | $44 | 417% |
| Comprehensive Benefits | $44 | 417% |
| Continental Life Insurance | $44 | 417% |
| Coventry | $44 | 417% |
| Custom Benefit Administrators | $44 | 417% |
| Cypress Benefit Administrators | $44 | 417% |
| Employee Benefit Concepts | $44 | 417% |
| Employee Benefit Management | $44 | 417% |
| Forest County Potawatomi | $44 | 417% |
| Freedom Life Insurance Company | $44 | 417% |
| Group Administrators | $44 | 417% |
| Group Marketing Services | $44 | 417% |
| Group Pension Administrators | $44 | 417% |
| Guardian | $44 | 417% |
| Health America | $44 | 417% |
| Health Choices | $44 | 417% |
| Healthcare Management Admin | $44 | 417% |
| Insight | $44 | 417% |
| Intercare | $44 | 417% |
| Jfp Benefit Management | $44 | 417% |
| Jp Farley Corporation | $44 | 417% |
| Key Benefit Administrator | $44 | 417% |
| Liberty Union Life Assurance Co | $44 | 417% |
| Lucent Health | $44 | 417% |
| Luminare Health | $44 | 417% |
| Magnacare | $44 | 417% |
| Medcost | $44 | 417% |
| Mutual Health Services | $44 | 417% |
| Mutual Of Omaha | $44 | 417% |
| Ncas | $44 | 417% |
| Nippon Life Ins | $44 | 417% |
| Nova | $44 | 417% |
| Painters Union Insurance Fund | $44 | 417% |
| Physicians Mutual | $44 | 417% |
| Plumbers Local 98 Insurance Fund | $44 | 417% |
| Prairie States | $44 | 417% |
| Preferred One | $44 | 417% |
| Primary Physician Care | $44 | 417% |
| Professional Benefit Administrators | $44 | 417% |
| Secureone Preferred United Plans | $44 | 417% |
| Siho Insurance Services | $44 | 417% |
| Sisco Benefits | $44 | 417% |
| The Loomis Company | $44 | 417% |
| Trustmark Small Business Benefits | $44 | 417% |
| U Of M Health Plan | $44 | 417% |
| Unicare | $44 | 417% |
| Unified Group Services | $44 | 417% |
| Us Health And Life | $44 | 417% |
| Valenz | $44 | 417% |
| Varipro | $44 | 417% |
| Wps | $44 | 417% |
| Humana | $49 - $95 | 464% |
| First Health | $50 | 473% |
| Paramount Hmo | $50 | 473% |
| Medben | $57 - $71 | 540% |
| Consociate | $58 | 549% |
| Health Ohio Network | $58 | 549% |
| Healthlink Inc | $71 | 672% |
| Medical Benefits Mutual | $71 | 672% |
| Ohio Health Choice | $71 | 672% |
| Ohio Ppo Connect | $71 | 672% |
| Ameriben | $76 | 720% |
| Luminare Health (Detroit) | $76 | 720% |
| Medi Share | $76 | 720% |
| Multiplan | $76 | 720% |
| Ohiohealthy | $76 | 720% |
| Osu Not Independent Choice | $76 | 720% |
| Phcs | $76 | 720% |
| Philadelphia American Life Insurance | $76 | 720% |
| Twin Valley Psychiatric | $76 | 720% |
| Health Smart | $81 | 767% |
| Medicaid / KanCare | $95 | 900% |