CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Bellin Memorial Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $39
Cash Discount Price: $38
vs. Medicare Baseline: 3.69x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Bellin Memorial Hospital is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 3.69x the Medicare baseline. Located in 744 S Webster Ave, Green Bay, WI.

Cash / Self-Pay

$38

Average discount available for prompt cash payment at this facility.

Insurance Median

$39

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: $38 (360%)

Insurance Median: $39 (369%)

Cash: $38 (360% of Medicare)

Ins. Median: $39 (369% 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 369% of the Medicare baseline (a markup of 269%). 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
Blue Cross Blue Shield	$11 - $44	104%
Community Care	$11 - $33	104%
Humana	$11 - $33	104%
My Choice	$11 - $15	104%
UnitedHealthcare	$11 - $41	104%
Aetna	$15 - $17	142%
Network Health	$15 - $44	142%
Common Ground	$35 - $66	331%
Chorus Community Health Plan	$37 - $68	350%
Aspirus Arise	$40 - $42	379%
Cigna	$41	388%
Wps Insurance	$42 - $49	398%
Hps/Paymedix	$43 - $46	407%
Trilogy	$44	417%
Healthsmart	$46	436%
Ihs(Claimsbridge)	$46	436%
Medical College Of Wi	$46	436%
Multiplan	$46	436%
Allied National	$49	464%
First Health	$49	464%
Galaxy Health	$49	464%
Three Rivers Provider Network	$52	492%

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 $38.
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 Bellin Memorial 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.