CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: UPMC Passavant

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $165
Cash Discount Price: $282
vs. Medicare Baseline: 15.63x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at UPMC Passavant is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $282. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 15.63x the Medicare baseline. Located in 9100 Babcock Boulevard, Pittsburgh, PA.

Cash / Self-Pay

$282

Average discount available for prompt cash payment at this facility.

Insurance Median

$165

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: $282 (2670%)

Insurance Median: $165 (1563%)

Cash: $282 (2670% of Medicare)

Ins. Median: $165 (1563% 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 1563% of the Medicare baseline (a markup of 1463%). 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
Upmc Health Plan	$10 - $20	95%
Upmc Work Partners	$10	95%
Aetna	$11 - $12	104%
Amerihealth Caritas	$11 - $18	104%
Health Plan Of Upper Ohio Valley	$11 - $217	104%
Highmark Wholecare (Prev Gateway)	$11 - $17	104%
Pa Health & Wellness	$11 - $20	104%
UnitedHealthcare	$11 - $13	104%
Private Health Care Systems	$12 - $437	114%
Blue Cross Blue Shield	$28 - $132	265%
Cigna	$151 - $188	1430%
Coventry/First Health	$310 - $329	2936%
Intergroup	$368 - $423	3485%
Humana	$377 - $437	3570%
Multiplan	$377 - $437	3570%

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 $282.
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 UPMC Passavant 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.