CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: Brookings Health System
Billing Code: 80053 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$64
about 5.8× the $11 Medicare rate · typically $26–$78
modeled estimate · not a bill or quote
Medicare pays $11 Fair price $64 Cash price $170 Hospital's list price $340
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 | $282 | 2670% |
| Blue Cross Blue Shieldmajor | $66 | 625% |
| Humanamajor | $306 | 2898% |
| Medica | $134 - $249 | 1269% |
| Sanford Health Plan | $323 | 3059% |
| + 1 smaller / regional plan | $306 |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Brookings Health System
Compare: Blood test, comprehensive metabolic panel at other SD hospitals
- Black Hills Surgical Hospital LLC · Rapid City $10
- Sanford Usd Medical Center · Sioux Falls $11
- Sanford Medical Center Aberdeen · Aberdeen $11
- Faulkton Area Medical Center · Faulkton $11
- Monument Health Rapid City Hospital · Rapid City $17
Insurance negotiated median for the same procedure, sorted lowest first.