Blood test, comprehensive metabolic panel
Facility: Medical City Dallas Hospital
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $24
- Cash Discount Price: $1,159
- vs. Medicare Baseline: 2.27x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 227% of the Medicare baseline (a markup of 127%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Cook Childrens Health Plan | $6 | 57% |
| Amerigroup | $9 - $11 | 85% |
| Parkland Community Health Plan | $9 | 85% |
| Texas Health Network | $9 | 85% |
| United | $9 - $425 | 85% |
| Aetna | $10 - $1,165 | 95% |
| Cigna | $10 - $1,088 | 95% |
| Molina | $10 - $12 | 95% |
| American Health Plan Of Texas, Inc. | $11 | 104% |
| Blue Cross Blue Shield | $11 - $878 | 104% |
| Care N Care | $11 | 104% |
| Devoted Health | $11 | 104% |
| Humana | $11 - $117 | 104% |
| Integranet | $11 | 104% |
| Mutual Of Omaha | $11 | 104% |
| Procare Advantge | $11 | 104% |
| Provider Partners Health Plan | $11 | 104% |
| Superior Health Plan | $11 - $138 | 104% |
| Texas Independent Health Plan | $11 | 104% |
| Triwest Veterans | $11 | 104% |
| Wellcare | $11 | 104% |
| Wellmed | $11 | 104% |
| Imperial Insurance Company | $12 | 114% |
| Triwest Health Alliance | $12 | 114% |
| Universal Healthcare Group | $13 | 123% |
| Verda Health Plan | $14 | 133% |
| Bravo Health | $16 | 152% |
| Superior | $19 - $24 | 180% |
| Usa Managed Care | $20 - $1,583 | 189% |
| Corvel Corporation | $21 | 199% |
| Oscar | $27 | 256% |
| Molina Healthcare | $28 | 265% |
| Religious Order Of Jehovah Witness | $68 - $396 | 644% |
| Unicare | $81 - $1,978 | 767% |
| Healthcare Highways Ntx | $86 - $692 | 814% |
| Prominence Health Plan | $136 - $791 | 1288% |
| City Of Mckinney | $152 - $890 | 1439% |
| Fidelis Securecare | $152 - $890 | 1439% |
| National Choicecare | $169 - $989 | 1600% |
| Pc Texas Partners | $186 - $1,088 | 1761% |
| Physicians Coop Of Tx | $186 - $1,088 | 1761% |
| Rockport Health Group | $186 - $1,088 | 1761% |
| Texas Instruments | $190 - $1,108 | 1799% |
| Averde Health, Inc | $197 - $1,147 | 1866% |
| UnitedHealthcare | $218 - $1,761 | 2064% |
| Coastal Comp Health Networks | $237 - $1,385 | 2244% |
| Mega Life | $237 - $1,385 | 2244% |
| Multiplan Phcs | $237 - $1,385 | 2244% |
| Healthsmart Preferred Care | $241 - $1,405 | 2282% |
| Lewisville Isd/Dls Consulting | $254 - $1,484 | 2405% |
| Galaxy Health Network | $288 - $1,681 | 2727% |
| Healthcare Highways | $485 - $669 | 4593% |
| Evry Health | $510 | 4830% |
| Emerging Therapy Solutions | $969 - $1,385 | 9176% |
| Usc Health Services | $1,583 | 14991% |
| Independent Medical Systems | $1,978 | 18731% |
| National Healthcare Solutions | $1,978 | 18731% |