CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Community Hospital, LLC

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $200
Cash Discount Price: $32
vs. Medicare Baseline: 18.94x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Community Hospital, LLC is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 18.94x the Medicare baseline. Located in 3100 Southwest 89Th Street, Oklahoma City, OK.

Cash / Self-Pay

$32

Average discount available for prompt cash payment at this facility.

Insurance Median

$200

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: $32 (303%)

Insurance Median: $200 (1894%)

Cash: $32 (303% of Medicare)

Ins. Median: $200 (1894% 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 1894% of the Medicare baseline (a markup of 1794%). 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
UnitedHealthcare	$10	95%
Healthchoice	$13	123%
Blue Cross Blue Shield	$24	227%
Cigna	$28 - $120	265%
Aetna	$168 - $204	1591%
First Health	$196	1856%
Medica	$273	2585%
Global Health	$326	3087%
Community Care	$378	3580%
Healthcare Highways	$378	3580%
Humana	$454	4299%
Phcs	$530	5019%
Preferred Community Choice	$530	5019%

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 $32.
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 Community Hospital, LLC 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.