Blood test, comprehensive metabolic panel
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $45
- Cash Discount Price: $41
- vs. Medicare Baseline: 4.26x 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 426% of the Medicare baseline (a markup of 326%). 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 |
|---|---|---|
| UnitedHealthcare | $10 - $11 | 95% |
| Medicare (plans) | $10 - $11 | 95% |
| Blue Cross Blue Shield | $10 - $45 | 95% |
| Aetna | $10 - $14 | 95% |
| Cigna | $11 - $15 | 104% |
| Cca Senior Care Options | $11 | 104% |
| Geha | $11 | 104% |
| Harvard Pilgrim Healthcare | $11 | 104% |
| Nippon Life Ins | $14 | 133% |
| Hap | $14 | 133% |
| Meritain | $14 | 133% |
| Luminare Health | $14 | 133% |
| Webtpa | $14 | 133% |
| Allied Benefit Systems | $14 | 133% |
| Gravie Admin Services | $14 | 133% |
| 1199 National Benefit Fund | $14 | 133% |
| Magnacare | $15 | 142% |
| Allegiance | $15 | 142% |
| Health Partners | $15 | 142% |
| Diversified Administrators | $22 | 208% |
| Claimdoc | $22 | 208% |
| Innovative Health Plan II | $22 | 208% |
| Connecticut Dept of Correction | $33 | 313% |
| Health New England | $40 | 379% |
| Blue Shield - Ca | $45 | 426% |
| Blue Shield - Ny Highmark Western | $45 | 426% |
| Blue Care Network | $45 | 426% |
| Kaiser Domestic | $45 | 426% |
| Bcn Domestic | $45 | 426% |
| Blue Shield - Wa (Regence) | $45 | 426% |
| Unicare | $45 | 426% |
| Pre-Employment | $45 | 426% |
| Blue Distinction Transplant | $45 | 426% |
| Blue Benefit Administrators of Massachusetts | $45 | 426% |
| Blue Shield - PA (Highmark) | $45 | 426% |
| Blue Shield - Id (Regence) | $45 | 426% |
| Wc Domestic | $45 | 426% |
| Health Choices | $45 | 426% |
| Blue Shield - Ny Highmark Northeastern | $45 | 426% |
| Asrm - Reliance Standard Life Insurance | $51 | 483% |
| Paramount HMO | $51 | 483% |
| Medi Share | $51 | 483% |
| Mvp | $51 | 483% |
| PHCS | $51 | 483% |
| Christian Care Ministry | $51 | 483% |
| Allied National Global Care | $51 | 483% |
| International Benefit Administrators | $51 | 483% |
| Multiplan | $51 | 483% |
| Dean Health | $51 | 483% |
| Pai | $51 | 483% |
| Pan-American Life | $51 | 483% |
| Ghc Scw | $51 | 483% |
| Trinity Health Share | $51 | 483% |
| Family Life Insurance Company | $51 | 483% |
| Lifetime Benefit Solutions | $51 | 483% |
| Manhattan Life | $51 | 483% |
| Prime Health Services | $60 | 568% |
| Connecticare | $61 - $67 | 578% |
| Health Smart | $64 | 606% |