CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Geisinger-Lewistown Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $201
Cash Discount Price: $304
vs. Medicare Baseline: 19.03x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Geisinger-Lewistown Hospital is $201. 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 19.03x the Medicare baseline. Located in 400 Highland Avenue, Lewistown, PA.

Cash / Self-Pay

$304

Average discount available for prompt cash payment at this facility.

Insurance Median

$201

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: $201 (1903%)

Cash: $304 (2879% of Medicare)

Ins. Median: $201 (1903% 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 1903% of the Medicare baseline (a markup of 1803%). 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
Advantra	$11	104%
Blue Cross Blue Shield	$11 - $266	104%
Geisinger Health Plan	$11 - $50	104%
Humana	$11	104%
Medicare (plans)	$11	104%
Upmc Health Plan	$11 - $11,890	104%
Medicaid / KanCare	$12	114%
Amerihealth	$13	123%
Geisinger Family Plan	$13	123%
Health Partners	$14	133%
Upmc Chip	$15	142%
Ambetter / Centene	$25	237%
Aetna	$201 - $239	1903%
Cigna	$212 - $258	2008%
UnitedHealthcare	$218	2064%
Christian Healthcare Ministries	$246	2330%
Christian Health Aid	$393	3722%
Three Rivers Provider Network Inc.	$393	3722%
Multiplan	$417	3949%
Healthsmart Payors Organization	$442	4186%

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-Lewistown Hospital 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.