CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: HCA Houston Healthcare Northwest

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $21
Cash Discount Price: $2,069
vs. Medicare Baseline: 1.99x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at HCA Houston Healthcare Northwest is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,069. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.99x the Medicare baseline. Located in 710 Cypress Creek Parkway, Houston, TX.

Cash / Self-Pay

$2,069

Average discount available for prompt cash payment at this facility.

Insurance Median

$21

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: $2,069 (19593%)

Insurance Median: $21 (199%)

Cash: $2,069 (19593% of Medicare)

Ins. Median: $21 (199% 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.

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
Community Health Choice Mcd	$9	85%
Texas Childrens Health Plans	$9 - $390	85%
Aetna	$10 - $69	95%
Molina Healthcare	$10 - $23	95%
Oscar	$10 - $31	95%
Triwest Healthcare Alliance	$10 - $32	95%
United	$10 - $1,058	95%
American Health Plan	$11	104%
Blue Cross Blue Shield	$11 - $823	104%
Christus (Usfhp)	$11	104%
Cigna	$11 - $56	104%
Devoted Health	$11	104%
Humana	$11 - $141	104%
Integranet Amerigroup Ipa	$11	104%
Procare Advantage	$11	104%
Provider Partners Health Plan Of Texas	$11	104%
Shared Health	$11	104%
Superior Health Plan	$11 - $141	104%
Triwest Health Alliance	$11	104%
Van Lang Ipa	$11	104%
Wellcare	$11	104%
Wellmed	$11	104%
Molina	$12	114%
Verda Health Plan	$14	133%
Community Health Choice	$15	142%
Superior	$15 - $16	142%
Healthcare Highways	$32	303%
Evry Health	$367 - $642	3475%
Coventry National First Health	$716 - $1,253	6780%

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 $2,069.
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 HCA Houston Healthcare Northwest 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.