CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Hillcrest Hospital Cushing

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $406
Cash Discount Price: $174
vs. Medicare Baseline: 38.45x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Hillcrest Hospital Cushing is $406. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $174. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 38.45x the Medicare baseline. Located in 1027 East Cherry Street, Cushing, OK.

Cash / Self-Pay

$174

Average discount available for prompt cash payment at this facility.

Insurance Median

$406

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: $174 (1648%)

Insurance Median: $406 (3845%)

Cash: $174 (1648% of Medicare)

Ins. Median: $406 (3845% 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 3845% of the Medicare baseline (a markup of 3745%). 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
Black Lung [6055]	$145	1373%
Healthcare Highways [2210]	$145 - $173	1373%
Hooray Health [8000]	$145	1373%
Lucent Health [6000]	$145	1373%
Oncology Patient Assistance Programs [2295]	$145	1373%
Oscar Insurance Company [7005]	$145	1373%
Healthscope Benefits [2290]	$157	1487%
UnitedHealthcare	$157 - $287	1487%
Web Tpa [2115]	$173	1638%
Cigna	$283	2680%
Healthpartners [1500]	$283	2680%
National Association Of Letter Carriers [1695]	$283	2680%
Pba [1775]	$283	2680%
Global Health [1430]	$359	3400%
First Health [1375]	$401 - $510	3797%
Multiplan [1680]	$401 - $510	3797%
Healthcare Solutions [1485]	$411	3892%
Community Care [1290]	$481	4555%
Fmh Benefit Services [1390]	$481	4555%
Group Resources [1455]	$481	4555%
Phcs [1780]	$481 - $510	4555%
Healthsmart [1505]	$492	4659%
Administrative Concepts [1005]	$510	4830%
Allied Benefit Systems Inc [1030]	$510	4830%
Allied National Global Care [1035]	$510	4830%
Gilsbar [1425]	$510	4830%
Healthnet [1495]	$510	4830%
Mutual Of Omaha [1685]	$510	4830%
New Era Life Insurance Company [1705]	$510	4830%
Pan American Life Insurance Co [1770]	$510	4830%
Trustmark [2030]	$510	4830%
Universal Fidelity [2085]	$510	4830%
Pending Ssi [1616]	$579	5483%

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 $174.
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 Hillcrest Hospital Cushing 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.