CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $566
Cash Discount Price: Unavailable
vs. Medicare Baseline: 53.60x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at University of Texas M. D. Anderson Cancer Center is $566. 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 53.60x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$566

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: $566 (5360%)

Ins. Median: $566 (5360% 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 5360% of the Medicare baseline (a markup of 5260%). 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
Texaschildrens	$9 - $332	85%
Medicare (plans)	$332	3144%
Vacare	$332	3144%
Memorialhermannhealth	$491 - $566	4650%
Blue Cross Blue Shield	$528 - $544	5000%
Cigna	$528 - $566	5000%
UnitedHealthcare	$528 - $566	5000%
Aetna	$544 - $566	5152%
Humana	$559 - $581	5294%
Ontarioministriesofhealth	$559	5294%
Beijingst.Lucia	$566	5360%
Embassyofqatar	$566	5360%
Emergingtherapysolutions	$566 - $604	5360%
Interlink	$566 - $642	5360%
Tricare	$566	5360%
Emergingtherapysolutions_Cancercare	$604	5720%
Interlink_Cancercare	$604	5720%
Saudiarmedforces	$604	5720%
Uae_Medical	$604	5720%
Uaepoliceattache	$604	5720%
Healthsmart	$642	6080%
Multiplan	$642 - $649	6080%
Phcs	$642 - $649	6080%
Vantage	$642	6080%

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 University of Texas M. D. Anderson Cancer Center 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.