Blood test, comprehensive metabolic panel
Facility: Northern Louisiana Medical Center
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $340
- Cash Discount Price: $267
- vs. Medicare Baseline: 32.20x 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 3220% of the Medicare baseline (a markup of 3120%). 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 |
|---|---|---|
| Tricare | $8 - $10 | 76% |
| Champva | $8 | 76% |
| Champus | $8 | 76% |
| Golden Rule Ins | $9 - $291 | 85% |
| UnitedHealthcare | $9 - $291 | 85% |
| Mutual of Omaha | $11 | 104% |
| VA | $11 | 104% |
| Aetna | $11 - $291 | 104% |
| Medicare (plans) | $11 | 104% |
| Veterans Evaluation Svcs | $11 | 104% |
| Blue Cross Blue Shield | $11 - $69 | 104% |
| Humana | $11 - $76 | 104% |
| Vantage Advantage | $11 | 104% |
| Gulf South Services | $11 | 104% |
| Medicaid / KanCare | $11 - $485 | 104% |
| Vantage Health Plan Ppaca | $20 | 189% |
| Vantage Health Plan | $21 | 199% |
| First Health | $22 - $412 | 208% |
| Verity Healthnet | $238 | 2254% |
| Kaiser Permanente | $242 | 2292% |
| Cigna | $242 | 2292% |
| Gilsbar | $267 | 2528% |
| Self Pay | $267 | 2528% |
| Geha | $388 - $461 | 3674% |
| PHCS | $412 | 3902% |
| Multiplan | $412 | 3902% |
| Work Comp First Health | $436 | 4129% |
| Work Comp City of Ruston | $436 | 4129% |
| Work Comp Nlmc Emp | $436 | 4129% |
| Workers Compensation | $436 | 4129% |
| Union Fidelity Life Ins | $485 | 4593% |
| Gmp Employers Retiree Tru | $485 | 4593% |
| Fox Everett Inc | $485 | 4593% |
| Ruston Regional Specialty | $485 | 4593% |
| Nalc Health Benefit Plan | $485 | 4593% |
| Gsu Athletics | $485 | 4593% |
| Equitable | $485 | 4593% |
| Nlmc Community Services | $485 | 4593% |
| Washington National Ins | $485 | 4593% |
| Liberty Healthshare | $485 | 4593% |
| McR American Hlth Adv | $485 | 4593% |
| Bankers Life and Casualty | $485 | 4593% |
| Ltu Athletics | $485 | 4593% |
| Union Bankers Insurance C | $485 | 4593% |
| Hospice of Caring Hearts | $485 | 4593% |
| Crime Victims Compensatio | $485 | 4593% |
| United American | $485 | 4593% |
| United Teachers Ins | $485 | 4593% |
| Guarantee Trust Life Ins | $485 | 4593% |
| Sterling Investors Life | $485 | 4593% |
| Lifecare Specialty Hosp | $485 | 4593% |
| Aflc American Family Life | $485 | 4593% |
| Lin Parish Detention | $485 | 4593% |
| Physicians Mutual Ins | $485 | 4593% |
| Us Dept of Labor | $485 | 4593% |
| Benefit Trust Life | $485 | 4593% |
| Principal Mutual Life Ins | $485 | 4593% |
| Ima Insurance | $485 | 4593% |
| Lincoln Kidney Center | $485 | 4593% |
| Protective Life Ins | $485 | 4593% |
| State Farm Insurance | $485 | 4593% |
| Nalc Natl Assoc Ltr Carri | $485 | 4593% |
| Mva Insurance Payors | $485 | 4593% |
| Ltu Student Ins Bollinger | $485 | 4593% |
| Specialty Hosp of Winnfie | $485 | 4593% |
| Liberty Mutual Group | $485 | 4593% |
| Healthfirst Tpa | $485 | 4593% |
| The Hartford | $485 | 4593% |
| American Life Accident | $485 | 4593% |
| Apwu Health Plan | $485 | 4593% |
| Newera | $485 | 4593% |
| Aarp | $485 | 4593% |
| State Mutual Ins | $485 | 4593% |
| Industrial Accounts | $485 | 4593% |
| Premier Hospice | $485 | 4593% |
| Misc Commercial | $485 | 4593% |