CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: PAM Rehabilitation Hospital of Corpus Christi

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $13
Cash Discount Price: $586
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at PAM Rehabilitation Hospital of Corpus Christi is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $586. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.23x the Medicare baseline. Located in 345 S Water St, Corpus Christi, TX.

Cash / Self-Pay

$586

Average discount available for prompt cash payment at this facility.

Insurance Median

$13

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: $586 (5549%)

Insurance Median: $13 (123%)

Cash: $586 (5549% of Medicare)

Ins. Median: $13 (123% 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
Aetna	$7 - $11	66%
Curative	$8	76%
Driscoll Health Plan	$9	85%
Superior Health	$9	85%
Ambetter / Centene	$11	104%
Blue Cross Blue Shield	$11	104%
Christus Health Plan	$11	104%
Christus Spohn Health Network	$11 - $352	104%
Cigna	$11	104%
Ilumed Aco Reach	$11	104%
Imperial Insurance Of Texas	$11	104%
Texas Independence Health Plan	$11	104%
UnitedHealthcare	$11	104%
Wellcare Complete	$11	104%
Wellmed	$11	104%
Wellpoint (Amerigroup)	$11	104%
Velocity Provider Ppo Network	$13 - $439	123%
Prime Health Services	$14 - $498	133%
Ninety Degree Benefits	$16	152%
Sana Benefits	$16	152%
Healthcare Highways	$322	3049%
America'S Choice Provider Network	$410	3883%
Provider Network Of America	$439	4157%
Quik Trip	$439	4157%
Usa Managed Care Organization	$439	4157%
Multiplan/Phcs	$469	4441%

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 $586.
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 Rehabilitation Hospital of Corpus Christi 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.