CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Henrico Doctors' Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $11
Cash Discount Price: $880
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Henrico Doctors' Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $880. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.04x the Medicare baseline. Located in 1602 Skipwith Road, Richmond, VA.

Cash / Self-Pay

$880

Average discount available for prompt cash payment at this facility.

Insurance Median

$11

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: $880 (8333%)

Insurance Median: $11 (104%)

Cash: $880 (8333% of Medicare)

Ins. Median: $11 (104% 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
Triatlantic	$9	85%
Health Net	$10	95%
Humana	$10 - $11	95%
Aetna	$11	104%
Align Senior Care	$11	104%
Cigna	$11 - $48	104%
Clear Spring Health Plan	$11	104%
Davita Village Health	$11	104%
Devoted	$11	104%
Evernorth Behavioral Health	$11	104%
Johns Hopkins	$11	104%
Pyramid Life	$11	104%
Sentara Health	$11	104%
United	$11 - $396	104%
United Behavioral Health	$11	104%
UnitedHealthcare	$11	104%
Virginia Premier Health	$11	104%
Bright Health	$23	218%
Oscar	$26	246%
Blue Cross Blue Shield	$45 - $61	426%
Lifeworks	$167	1581%
Universal Healthcare Group	$194	1837%
Virginia Health Network	$308 - $572	2917%
Greenvbrier Sporting Club	$528	5000%
Corvel	$634	6004%
Occunet Workers Comp	$704	6667%
4Most Health Nework	$792	7500%
Multiplan	$792	7500%

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 $880.
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 Henrico Doctors' Hospital 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.