CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Trident Medical Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $16
  • Cash Discount Price: $241
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Trident Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $241. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.52x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.
Cash / Self-Pay
$241

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $241 (2282%)
Insurance Median: $16 (152%)
Cash: $241 (2282% of Medicare)
Ins. Median: $16 (152% 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 - $181 85%
Absolute Total Care $11 - $43 104%
Advantage Hospice $11 104%
Aetna $11 - $28 104%
Agape Hospice $11 104%
Arcadian $11 104%
Blue Cross Blue Shield $11 - $229 104%
Boldage Pace $11 104%
Cigna $11 104%
Clover $11 104%
Companion $11 104%
Devoted Health $11 104%
Eon Health $11 104%
Molina $11 - $32 104%
Odyssey Hospice $11 104%
United $11 - $108 104%
United Behavioral Health $11 104%
Wellcare $11 104%
Blue Choice $12 114%
Universal Healthcare Group $13 123%
Corvel Corporation $14 133%
Employer'S Health Network $14 133%
Prime Health $14 - $205 133%
Heritage Summit $16 152%
Seven Corners $18 170%
Select Health $20 189%
Naphcare $22 208%
Sc State Employees $36 341%
Blue Choice Health Plan $38 360%
Nhc Advantage $46 436%
Pruitt Health $46 436%
Medcost $92 - $135 871%
Employers Health Network $108 1023%
Occunet $120 1136%
Vocational Rehab $130 1231%
First Health $176 1667%
Mhnet $181 1714%
Evernorth $193 1828%
Multiplan $205 1941%
Novanet $217 2055%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Medical Plaza Dr, Charleston, SC 29406
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals