Blood test, comprehensive metabolic panel
Facility: Boston Medical Center
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $11
- Cash Discount Price: $78
- vs. Medicare Baseline: 1.04x 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.
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 |
|---|---|---|
| Medicaid / KanCare | $9 | 85% |
| Mass General Brigham Health Plan ACO [1120] | $9 | 85% |
| Tufts Together ACO [1122] | $9 | 85% |
| Wellsense Alli ACO [1118] | $9 | 85% |
| Tufts Together McO [1125] | $9 | 85% |
| Hlth New England ACO [1123] | $9 | 85% |
| Wellsense Essential McO [1101] | $9 | 85% |
| Fallon Healthcre ACO [1121] | $9 | 85% |
| Mass General Brigham Health Plan McD Mnged [1107] | $9 | 85% |
| UnitedHealthcare | $10 - $11 | 95% |
| Zzzunited [1008] | $10 - $32 | 95% |
| Oxford Health [2024] | $10 | 95% |
| Oxford Health [1007] | $10 | 95% |
| Corrections [9001] | $10 - $13 | 95% |
| United [2025] | $10 - $32 | 95% |
| Wellsense [7001] | $11 | 104% |
| Zzzcca Onecare [1216] | $11 | 104% |
| Medicare (plans) | $11 | 104% |
| Tufts [8002] | $11 - $29 | 104% |
| Veterans Admin [9003] | $11 | 104% |
| Eternalhealth [1227] | $11 | 104% |
| Neighborhood Pace [1206] | $11 | 104% |
| Aetna | $11 - $85 | 104% |
| Humana | $11 | 104% |
| Cca [1215] | $11 | 104% |
| Zzzcovid19 Hrsa Uninsured Testing and Treatment Fund [500010] | $11 | 104% |
| Ubh Hphc [8016] | $11 | 104% |
| Wellcare [1240] | $11 | 104% |
| Blue Cross Blue Shield | $11 - $21 | 104% |
| Cigna | $12 - $29 | 114% |
| Fallon Sco [1126] | $12 | 114% |
| Senior Whole Health [1210] | $13 | 123% |
| Champva [9004] | $13 | 123% |
| Tufts Conncare/Qhp [8020] | $13 - $15 | 123% |
| Tricare | $13 | 123% |
| Fallon [8008] | $14 | 133% |
| Zzzbu Employee Work Comp [5004] | $15 | 142% |
| Zzzcity of Boston Work Comp [5003] | $15 | 142% |
| Workers Comp [5002] | $15 | 142% |
| Unicare [8004] | $19 | 180% |
| Wellpoint [2034] | $19 | 180% |
| Harvard Pilgrim Health Care [8001] | $32 | 303% |
| Health Plans Inc [2027] | $32 | 303% |
| Zzzhealth Plans Inc [1013] | $32 | 303% |
| Uphams Corner Esp [1213] | $69 | 653% |
| Meritain Health [1023] | $76 | 720% |
| Mass General Brigham Health Plan Commercial [8009] | $93 | 881% |
| Hsn Dental [4006] | $513 | 4858% |
| Hsn Bad Debt [4003] | $513 | 4858% |
| Hsn Partial [4002] | $513 | 4858% |
| Hsn [4001] | $513 | 4858% |
| Hsn Confidential [4007] | $513 | 4858% |