CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Colleton Medical Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $14
  • Cash Discount Price: $620
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Colleton Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $620. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.33x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
$620

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $620 (5871%)
Insurance Median: $14 (133%)
Cash: $620 (5871% of Medicare)
Ins. Median: $14 (133% 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
Humana $9 - $580 85%
Absolute Total Care $11 - $116 104%
Aetna $11 - $373 104%
Arcadian $11 104%
Blue Cross Blue Shield $11 - $612 104%
Boldage Pace $11 104%
Cigna $11 - $416 104%
Clover $11 104%
Devoted Health $11 104%
Eon Health $11 104%
Molina $11 - $32 104%
Odyssey Hospice $11 104%
United $11 - $342 104%
United Behavioral Health $11 104%
Wellcare $11 104%
Align Networks $12 114%
Blue Choice $12 114%
Universal Healthcare Group $13 123%
Corvel Corporation $14 133%
Employer'S Health Network $14 133%
Prime Health $14 - $547 133%
Heritage Summit $16 152%
Seven Corners $18 170%
Select Health $20 189%
Medical Development $22 208%
Naphcare $22 208%
Sc State Employees $36 - $40 341%
Blue Choice Health Plan $92 - $96 871%
Nhc Advantage $122 1155%
Pruitt Health $122 1155%
Employers Health Network $290 2746%
Value Option $322 3049%
Vocational Rehab $348 3295%
Medcost $363 - $470 3438%
Mhnet $483 4574%
Evernorth $515 4877%
Multiplan $547 5180%
North American Administrators $547 5180%
First Health $580 5492%
Novanet $580 5492%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals