CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Columbus Community Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $378
Cash Discount Price: $304
vs. Medicare Baseline: 35.80x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Columbus Community Hospital is $378. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $304. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 35.80x the Medicare baseline. Located in 1515 Park Ave, Columbus, WI.

Cash / Self-Pay

$304

Average discount available for prompt cash payment at this facility.

Insurance Median

$378

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: $304 (2879%)

Insurance Median: $378 (3580%)

Cash: $304 (2879% of Medicare)

Ins. Median: $378 (3580% 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 3580% of the Medicare baseline (a markup of 3480%). 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
Dean Health Plan	$11 - $91	104%
My Choice Wisconsin	$11 - $12	104%
Quartz	$11 - $378	104%
Security Health Plan	$11 - $429	104%
UnitedHealthcare	$11 - $477	104%
Blue Cross Blue Shield	$12 - $443	114%
Icare	$12 - $167	114%
Alliance	$30	284%
Cigna	$316 - $344	2992%
Health Payment Systems	$397 - $431	3759%
Trilogy	$434 - $472	4110%
Wps	$445 - $484	4214%
Healtheos	$460 - $535	4356%
First Health	$466 - $506	4413%
Humana	$476 - $518	4508%

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 $304.
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 Columbus Community 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.