CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Rhode Island Hospital

Billing Code: 80053 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$17
about 1.5× the $11 Medicare rate · typically $11–$19
modeled estimate · not a bill or quote
What this hospital charges insurers
$15
Below the fair price — a good deal
about $2 under the fair price · 1.4× Medicare
Medicare pays $11 Fair price $17 This hospital $15

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

A typical price — 2 charge more and 2 charge less, among the 5 RI hospitals compared.

Cheapest $11 Priciest $19

Black dot = this hospital, among the 5 RI hospitals with a price for this procedure. Full list below.

A fair price for a Blood test, comprehensive metabolic panel is about $17 (about 1.5× the $11 Medicare rate). Rhode Island Hospital charges insurers about $15 — below the fair price — a good deal. Located in Providence, RI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $21 199%
Blue Cross Blue Shieldmajor $8 - $12 76%
Aetnamajor $11 - $67 104%
Cignamajor $11 - $44 104%
Harvard Pilgrim $66 625%
Tufts Health Plan $49 464%

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Facility Profile & Credentials

  • Address: 593 Eddy Street, Providence, RI 02902
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals