CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Trios Health

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $11
  • Cash Discount Price: $113
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Trios Health is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.04x the Medicare baseline. Located in 3780 Plaza Way, Kennewick, WA.
Cash / Self-Pay
$113

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: $113 (1070%)
Insurance Median: $11 (104%)
Cash: $113 (1070% 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.

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 Plan Of Washington $6 57%
Coordinated Care Of Washington Inc $6 57%
Molina Healthcare Of Washington $6 - $11 57%
Wellpoint Washington, Inc. $6 57%
Ods Community Health Inc $8 76%
Veteran Family Member Program $9 85%
Government Employees Health Association $10 95%
UnitedHealthcare $10 - $11 95%
Asuris Northwest Health $11 104%
Humana $11 104%
Summit Health Plan $11 104%
Blue Cross Blue Shield $13 123%
Lifewise Health Plan Of Wa $13 123%
Kfhp Of Wa $50 473%
Kfhp Of Wa Options, Inc $50 473%
Meritain Health $130 1231%
Cigna $189 1790%
Aetna $229 - $637 2169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3780 Plaza Way, Kennewick, WA 99338
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals