CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: PAM Specialty Hospital of Texarkana North

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $422
Cash Discount Price: $562
vs. Medicare Baseline: 39.96x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at PAM Specialty Hospital of Texarkana North is $422. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $562. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 39.96x the Medicare baseline. Located in 2400 St Michael Dr 2Nd Floor, Texarkana, TX.

Cash / Self-Pay

$562

Average discount available for prompt cash payment at this facility.

Insurance Median

$422

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: $562 (5322%)

Insurance Median: $422 (3996%)

Cash: $562 (5322% of Medicare)

Ins. Median: $422 (3996% 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 3996% of the Medicare baseline (a markup of 3896%). 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
Aetna	$8	76%
America'S Choice	$394	3731%
Provider Network Of America	$422	3996%
Quik Trip	$422	3996%
Usa Managed Care Organization	$422	3996%
Velocity Provider Ppo Network	$422	3996%
Medadvent Healthcare Solutions	$450	4261%
Multiplan/Phcs	$450	4261%
Prime Health Services	$478	4527%
Medincrease	$506	4792%

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 $562.
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 PAM Specialty Hospital of Texarkana North 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.