Blood test, comprehensive metabolic panel
Facility: Bmh-Calhoun
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $105
- Cash Discount Price: $71
- vs. Medicare Baseline: 9.94x 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 994% of the Medicare baseline (a markup of 894%). 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 |
|---|---|---|
| Veterans Evaluation Services | $11 | 104% |
| Molina | $11 - $108 | 104% |
| Blue Cross Blue Shield | $16 - $60 | 152% |
| PPO Holdings | $52 | 492% |
| Magnolia Regional Health Center | $54 | 511% |
| Tricare | $56 | 530% |
| Vaccn | $58 | 549% |
| Ms Breast and Cervical | $58 | 549% |
| Triwest | $58 | 549% |
| Devoted Health | $60 | 568% |
| Aetna | $61 - $88 | 578% |
| Primewell | $61 | 578% |
| American Health Plan | $61 | 578% |
| Humana | $61 - $109 | 578% |
| Shared Health | $61 | 578% |
| Magnolia Ms | $67 | 634% |
| Littler | $68 | 644% |
| Cigna | $75 | 710% |
| First Choice Health Plan of Ms | $88 | 833% |
| Burch Food Services | $99 | 938% |
| First State Bank Trust | $99 | 938% |
| Building Plastic | $105 | 994% |
| Lakeland School System | $105 | 994% |
| Rei Nation | $105 | 994% |
| Heartland Catfish Company | $105 | 994% |
| Ashley Furniture Stores | $105 | 994% |
| Brimhall Foods | $105 | 994% |
| Arlington Community Schools | $105 | 994% |
| Dunn Investment Company | $105 | 994% |
| Radians | $105 | 994% |
| State Systems | $105 | 994% |
| Town of Collierville | $105 | 994% |
| City of Bartlett | $105 | 994% |
| Delta Industries | $105 | 994% |
| Mid-South Transport | $105 | 994% |
| Cannon Motor Company | $105 | 994% |
| Davidson Hospitality | $105 | 994% |
| Carlisle | $105 | 994% |
| First Community Bank | $105 | 994% |
| Silver Tree | $105 | 994% |
| United Tn Holdings | $105 | 994% |
| Vaughn Electric | $105 | 994% |
| Eas Mssc Schools | $105 | 994% |
| Jas D Collier | $105 | 994% |
| Gossett Motor Cars | $105 | 994% |
| Hollowell Industries | $105 | 994% |
| Y K Auto Group | $105 | 994% |
| Collierville Schools | $105 | 994% |
| W W Wood Products | $105 | 994% |
| Hattiesburg Clinic | $105 | 994% |
| Hospitality Management Advisors | $105 | 994% |
| Security One | $105 | 994% |
| Crittenden County | $105 | 994% |
| Bartlett City Schools | $105 | 994% |
| W G Yates | $105 | 994% |
| Minact | $105 | 994% |
| Ritchey Automotive | $105 | 994% |
| Malco Theaters | $105 | 994% |
| Mechanical Systems | $105 | 994% |
| Armstrong Relocation | $105 | 994% |
| French Camp Academy | $105 | 994% |
| Patterson Warehouses | $105 | 994% |
| Desoto Co Board of Supervisors | $105 | 994% |
| Heavy Machines | $105 | 994% |
| City of Lakeland | $105 | 994% |
| Retzer Resources | $105 | 994% |
| Watkins Uiberall | $105 | 994% |
| Christian Health Aid | $109 | 1032% |
| Advanced Health Systems Inc. | $109 | 1032% |
| PPO Plus | $116 | 1098% |
| Harding Academy | $117 | 1108% |
| Employers Health Network | $117 | 1108% |
| Multiplan | $122 | 1155% |
| Qca | $122 | 1155% |