Blood test, comprehensive metabolic panel
Facility: Knapp Medical Center
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $11
- Cash Discount Price: $10
- vs. Medicare Baseline: 1.04x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Corvel | $7 | 66% |
| Provider Network Of America | $8 | 76% |
| Zelis Healthcare Fka Stratose | $8 | 76% |
| Molina | $9 - $19 | 85% |
| Provider Select | $9 | 85% |
| Superior Health Plan | $9 - $18 | 85% |
| UnitedHealthcare | $9 - $18 | 85% |
| Americas Choice Provider Network (Acpn) | $10 | 95% |
| Division Of Immigration Health | $10 | 95% |
| Three Rivers | $10 | 95% |
| Blue Cross Blue Shield | $11 - $38 | 104% |
| Cigna | $11 - $18 | 104% |
| Coventry (First Health) | $11 | 104% |
| Imperial Insurance Companies | $11 | 104% |
| Medicare (plans) | $11 | 104% |
| Multiplan | $11 | 104% |
| Prime Health Services | $11 | 104% |
| Provider Partners Health Plan | $11 | 104% |
| Texas Bluebonnet Health Plan | $11 - $17 | 104% |
| Tricare | $11 | 104% |
| Veterans Evaluation Services | $11 | 104% |
| Wellmed Aarp Ma Fka Physicians Health Choice | $11 | 104% |
| Worker Comp | $11 | 104% |
| Texas Oncology Pa Op | $13 | 123% |
| Frontier Health (Fka Asserta Health) | $14 | 133% |
| Magic Valley Electric Cooperative | $14 | 133% |
| Employer Direct Healthcare | $15 | 142% |
| Corporate Remedies (Wc) | $16 | 152% |
| Naphcare | $16 | 152% |
| Medicaid / KanCare | $17 - $18 | 161% |
| Occunet | $18 | 170% |
| Baker Benefits Administrators | $21 | 199% |