CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: Cannon Memorial Hospital
Billing Code: 80053 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80053
- Insurance Median: $12
- Cash Discount Price: $38
- vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Cannon Memorial Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.14x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$38
Average discount available for prompt cash payment at this facility.
Insurance Median
$12
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: $38 (360%)
Insurance Median: $12 (114%)
Cash: $38 (360% of Medicare)
Ins. Median: $12 (114% 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.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 |
|---|---|---|
| Cigna | $6 - $750 | 57% |
| Geha [302] | $6 - $400 | 57% |
| Golden Rule Ins Co [584] | $6 - $400 | 57% |
| Nalc Health Benefit Plan [291] | $6 - $446 | 57% |
| UnitedHealthcare | $6 - $750 | 57% |
| Aetna | $7 - $17 | 66% |
| Mail Handlers Benefit Plan [327] | $7 - $17 | 66% |
| Rural Carrier Benefit Plan [406] | $7 - $17 | 66% |
| Bright Health Alt Payer [1001] | $8 | 76% |
| Medicaid / KanCare | $8 - $750 | 76% |
| Medicare (plans) | $8 - $750 | 76% |
| Blue Cross Blue Shield | $9 - $712 | 85% |
| Bright Health [11] | $9 | 85% |
| Champva [604] | $9 | 85% |
| Humana | $9 - $540 | 85% |
| Planned Administrators [886] | $9 - $136 | 85% |
| Select Health Of Sc [637] | $9 - $12 | 85% |
| Tricare | $9 | 85% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $11 | 104% |
| Absolute Total Care Mcr Plans [41] | $11 | 104% |
| Absolute Total Care [58] | $11 - $13 | 104% |
| Blue Choice Health Plan [922] | $11 - $146 | 104% |
| Devoted Health Alt Payer [9401] | $11 | 104% |
| Devoted Health [94] | $11 | 104% |
| First Choice Vip Careplus Alt Payer [3301] | $11 | 104% |
| First Choice Vip [33] | $11 | 104% |
| Molina Dual Options Alt Payer [1501] | $11 | 104% |
| Molina Dual Options [15] | $11 | 104% |
| Nhc Advantage Alt Payer [6101] | $11 | 104% |
| Nhc Advantage [61] | $11 | 104% |
| Vaccn - Va Community Care Network [16] | $11 | 104% |
| Veterans Administration [633] | $11 | 104% |
| Thomas Cooper & Company [315] | $12 - $136 | 114% |
| Other Hospital Payers [1991] | $13 - $750 | 123% |
| Ambetter / Centene | $15 | 142% |
| First Choice Next [96] | $15 | 142% |
| Molina Marketplace [97] | $15 | 142% |
| Workers Compensation [622] | $16 | 152% |
| Edison Health Solutions [95] | $18 | 170% |
| Healthscope [98] | $18 | 170% |
| Medcost [206] | $18 - $675 | 170% |
| Employee Benefit Management Services [869] | $210 | 1989% |
| Phcs [940] | $405 - $495 | 3835% |
| Preferred Administrators [19] | $450 | 4261% |
| Coventry Health [245] | $469 - $540 | 4441% |
| American Continental Ins [778] | $750 | 7102% |
| American Republic Life Ins [722] | $750 | 7102% |
| Business Office [6000] | $750 | 7102% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $750 | 7102% |
| First Health [946] | $750 | 7102% |
| Guarantee Trust Life Insurance [236] | $750 | 7102% |
| Home Health Infusion Payer [6001] | $750 | 7102% |
| Manhattan Life Ins Co [932] | $750 | 7102% |
| Miscellaneous Commercial [1] | $750 | 7102% |
| New Era Life Ins Co [437] | $750 | 7102% |
| Non-Contracted [22] | $750 | 7102% |
| Physicians Mutual [773] | $750 | 7102% |
| Reference Based Pricing/Limited Plan [21] | $750 | 7102% |
| State Farm Ins Co [373] | $750 | 7102% |
| Sterling Investors Life [244] | $750 | 7102% |
| Supermed/Med Mutual Of Ohio [539] | $750 | 7102% |
| United American Ins Co [277] | $750 | 7102% |