Blood test, comprehensive metabolic panel
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $179
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 16.95x 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 1695% of the Medicare baseline (a markup of 1595%). 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 |
|---|---|---|
| Amerigroup | $1 | 9% |
| Ambetter / Centene | $2 | 19% |
| Health Partners Plan | $8 - $62 | 76% |
| Devoted Health Plan | $11 - $123 | 104% |
| UnitedHealthcare | $11 - $175 | 104% |
| Oxford | $11 - $184 | 104% |
| Global Exchange Managed Care | $16 | 152% |
| Horizon | $34 - $172 | 322% |
| Self Pay | $37 | 350% |
| Magnacare | $98 - $221 | 928% |
| Cigna | $103 - $124 | 975% |
| Evernorth | $123 | 1165% |
| Qualcare Commercial | $123 | 1165% |
| Great West Life | $124 | 1174% |
| Aetna | $141 - $203 | 1335% |
| Amerihealth | $158 - $207 | 1496% |
| Active Care Plus | $160 | 1515% |
| Qualcare Wc | $160 | 1515% |
| First McO | $160 | 1515% |
| Mutual of Omaha | $160 | 1515% |
| Consumer Health Network (Chn) | $172 - $221 | 1629% |
| Donio Trucking | $172 | 1629% |
| Devon/ Ullicare | $184 | 1742% |
| Coventry Health Care | $197 | 1866% |
| Private Healthcare System (PHCS) | $197 | 1866% |
| Blue Cross Blue Shield | $202 | 1913% |
| Prime Health Services | $209 | 1979% |
| Metrahealth of Nj | $209 | 1979% |
| Health Payors Org | $209 | 1979% |
| Health South | $209 | 1979% |
| Three Rivers Provider Network (Trpn) | $209 | 1979% |
| Active Care Nj Pip | $221 | 2093% |
| Choice Care | $221 | 2093% |
| McS Commercial | $221 | 2093% |
| Intergroup Preferred Program | $221 | 2093% |
| Department of Corrections | $221 | 2093% |
| Galaxy Health Network | $221 | 2093% |
| Multiplan | $221 | 2093% |
| Beech Street | $221 | 2093% |
| Metracomp | $221 | 2093% |
| Health Network Inc | $221 | 2093% |
| Provider Select, Inc | $221 | 2093% |
| Master Care Inc | $228 | 2159% |
| Atlantis Health Plan | $228 | 2159% |
| Health Network America | $234 | 2216% |
| McSi/Mrsi Worker's Comp | $234 | 2216% |
| Advance Healthcare System | $234 | 2216% |
| Community Care Network | $234 | 2216% |
| McSi/Mrsi No Fault | $234 | 2216% |
| National Health Plan | $234 | 2216% |