CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: St Jude Childrens Research Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $27
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.56x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at St Jude Childrens Research Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 2.56x the Medicare baseline. Located in 262 Danny Thomas Place, Memphis, TN.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$27

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%)

Insurance Median: $27 (256%)

Ins. Median: $27 (256% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 256% of the Medicare baseline (a markup of 156%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$6 - $59	57%
Home State Health	$10	95%
Medicaid / KanCare	$10 - $11	95%
Healthcare Connections La	$11	104%
Healthy Blue	$11	104%
Blue Cross Blue Shield	$12 - $34	114%
Health Choice - Ok	$13	123%
Tenncare Select Hmo	$13	123%
Molina Marketplace Of Ms	$14 - $15	133%
Empower	$15	142%
Vantage	$49 - $55	464%
Humana	$53	502%
Aetna	$62	587%
Private Health Care Systems	$66	625%
Ms Physicians Care Network	$70	663%
Baptist Health	$74	701%
Cigna	$74	701%
First Health Ccn	$74	701%
Health Choice	$74	701%
Health Link Mississippi	$74	701%
Healthscope Benefits Inc	$74	701%
Tricare	$82	777%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80053.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Jude Childrens Research Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80053.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.