CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Geisinger-Community Medical Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $139
Cash Discount Price: $304
vs. Medicare Baseline: 13.16x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Geisinger-Community Medical Center is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $304. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 13.16x the Medicare baseline. Located in 1822 Mulberry Street, Scranton, PA.

Cash / Self-Pay

$304

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $304 (2879%)

Insurance Median: $139 (1316%)

Cash: $304 (2879% of Medicare)

Ins. Median: $139 (1316% 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 1316% of the Medicare baseline (a markup of 1216%). 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 - $290	104%
Geisinger Health Plan	$11 - $30	104%
Humana	$11	104%
Medicare (plans)	$11	104%
Prison Health Services	$11	104%
Geisinger Family Plan	$12	114%
Medicaid / KanCare	$12	114%
Amerihealth	$13	123%
Health Partners	$14	133%
Upmc For You	$14	133%
Upmc Chip	$15	142%
Ambetter / Centene	$35	331%
Blue Cross Blue Shield	$38 - $171	360%
UnitedHealthcare	$208	1970%
Cigna	$217	2055%
Christian Healthcare Ministries	$246	2330%
Healthnet	$288	2727%
Universal Managed Care	$304 - $319	2879%
Intergroup Services	$393 - $442	3722%
Multiplan	$417	3949%

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 $304.
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 Geisinger-Community Medical Center 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.