Blood test, comprehensive metabolic panel
Facility: College Medical Center Phoenix
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $475
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 44.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 4498% of the Medicare baseline (a markup of 4398%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | $475 | 4498% |
| Tricare | $475 | 4498% |
| Alignment Health- Ma | $475 | 4498% |
| Health Choice Generations- Ma | $475 | 4498% |
| Magellan Behavioral Health | $475 | 4498% |
| Humana | $475 | 4498% |
| Health Choice- Ex | $475 | 4498% |
| Trbha | $475 | 4498% |
| Veterans Administration- Gov | $475 | 4498% |
| Health Choice- Mc | $475 | 4498% |
| Banner University Family Care- Mc | $475 | 4498% |
| Ambetter / Centene | $475 | 4498% |
| Evernorth Commercial | $475 | 4498% |
| Cigna | $475 | 4498% |
| Self Pay Ip Psych | $475 | 4498% |
| Mercy Care McR Advantage- Ma | $475 | 4498% |
| Fed Emerg Svc- Mc | $475 | 4498% |
| Complete Care Plan- Rbha | $475 | 4498% |
| UnitedHealthcare | $475 | 4498% |
| Mercy Care Dcs Chip- Mc | $475 | 4498% |
| Blue Cross Blue Shield | $475 | 4498% |
| Self Pay Ip Detox | $475 | 4498% |
| Molina Health Care- Mc | $475 | 4498% |
| Medicaid / KanCare | $475 | 4498% |
| Arizona Complete Care Plan- Mc | $475 | 4498% |
| Triwest Veterans Choice- Gov | $475 | 4498% |
| Misc Commercial Health Plan | $475 | 4498% |
| Mercy Maricopa- Rbha | $475 | 4498% |
| Medicare (plans) | $475 | 4498% |
| Ubh Commercial | $475 | 4498% |
| Wellcare By Allwell- Ma | $475 | 4498% |
| University Phys Care Advantage- Ma | $475 | 4498% |
| Mercy Care Ahcccs- Mc | $475 | 4498% |
| Devoted Health Inc. | $475 | 4498% |
| Allwell Behavioral From Azch- Ma | $475 | 4498% |