CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: University Medical Center
Billing Code: 80053 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80053
- Insurance Median: $12
- Cash Discount Price: $323
- vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at University Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $323. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.14x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$323
Average discount available for prompt cash payment at this facility.
Insurance Median
$12
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$10.56
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $10.56 (100%)
Cash / Self-Pay: $323 (3059%)
Insurance Median: $12 (114%)
Cash: $323 (3059% of Medicare)
Ins. Median: $12 (114% of 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.
Input your details and click calculate to compare out-of-pocket costs.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| American Postal Workers Health Plan | $3 - $4 | 28% |
| UnitedHealthcare | $3 - $12 | 28% |
| Las Vegas Firefighters 1285 | $3 - $295 | 28% |
| Switch | $3 - $295 | 28% |
| Surest | $3 - $4 | 28% |
| Las Vegas Sand Corps | $4 - $14 | 38% |
| Electrical Workers | $5 - $295 | 47% |
| So Ca Pipe Trades H&W | $5 | 47% |
| National Security Technologies | $5 - $17 | 47% |
| Operating Engineers | $5 - $295 | 47% |
| Boyd Group | $5 - $295 | 47% |
| Cement Masons & Plasters H&W | $5 - $295 | 47% |
| Cirque De Soleil | $5 - $17 | 47% |
| California Ironwork Field Welfare | $5 | 47% |
| Bricklayers Local 13 | $5 - $295 | 47% |
| Cigna | $5 - $17 | 47% |
| Aig | $5 - $546 | 47% |
| Beech Street | $5 - $546 | 47% |
| Teamsters Local 631 | $5 - $295 | 47% |
| Caesar's Entertainment | $5 - $295 | 47% |
| Southwest Carpenters H&W | $5 | 47% |
| Laborers Health and Welfare | $5 - $295 | 47% |
| Great West Healthcare | $5 - $17 | 47% |
| Teamsters Local 986 | $5 - $295 | 47% |
| Ufcw Local 711 Retail Clerks | $5 - $295 | 47% |
| Teamsters Local 14 | $5 - $295 | 47% |
| Sheet Metal Workers | $5 | 47% |
| City of North Las Vegas | $5 - $295 | 47% |
| Kaiser | $5 - $17 | 47% |
| Blue Cross Blue Shield | $5 - $11 | 47% |
| Plumbers & Pipefitters Loc 525 | $5 - $295 | 47% |
| Molina | $7 - $18 | 66% |
| Sierra Health and Life | $7 - $568 | 66% |
| Ambetter / Centene | $7 - $16 | 66% |
| Healthcare Partners of Nevada | $11 | 104% |
| Dignity Health | $11 - $568 | 104% |
| Alignment Health | $11 | 104% |
| Truline Corporation | $11 - $568 | 104% |
| Arroweye Solutions | $11 - $568 | 104% |
| Resorts World Las Vegas | $11 - $295 | 104% |
| Clark County Self Funded | $11 - $295 | 104% |
| Clark County EPO | $11 - $295 | 104% |
| Selecthealth | $11 - $16 | 104% |
| Mgm Grand | $11 - $295 | 104% |
| Mirage Las Vegas | $11 - $295 | 104% |
| City of Henderson | $11 - $295 | 104% |
| Wynn Resorts | $11 - $295 | 104% |
| Scan | $11 | 104% |
| Aetna | $11 - $492 | 104% |
| Pli Las Vegas | $11 - $568 | 104% |
| Las Vegas Metro Police Dept | $11 - $295 | 104% |
| Golden Entertainment | $11 - $568 | 104% |
| VA Pc3 (VA Choice) | $11 | 104% |
| Rebel Oil Company | $11 - $568 | 104% |
| Advantra Freedom | $11 | 104% |
| Stations Casinos | $11 - $568 | 104% |
| Golden Nugget Hotel & Casino | $11 - $568 | 104% |
| Teacher's Health Trust | $11 - $568 | 104% |
| Marshall Retail Group | $11 - $568 | 104% |
| P3 Health Partners | $11 - $568 | 104% |
| Venetian/Palazzo | $11 - $568 | 104% |
| State of Nevada | $11 - $568 | 104% |
| Allwell | $11 | 104% |
| P3 Health Partners Nevada | $11 | 104% |
| Employee Painters Trust | $12 - $295 | 114% |
| Health Net | $12 - $929 | 114% |
| Coventry | $12 - $16 | 114% |
| First Health | $12 - $18 | 114% |
| Nevada Energy | $12 - $16 | 114% |
| Three Rivers Provider Network | $12 - $18 | 114% |
| Mail Handlers Benefit Plan | $12 - $16 | 114% |
| Clark County Firefighters 1908 | $12 - $295 | 114% |
| Geha | $12 - $16 | 114% |
| Culinary Workers Hwf | $13 - $295 | 123% |
| Universal Health Network (Uhn) | $16 - $21 | 152% |
| Prominence Health Plan | $16 - $21 | 152% |
| Nevada Preferred Professionals | $16 - $21 | 152% |
| Hometown Health Plan Nevada | $16 | 152% |
| Jw Marriott | $16 - $96 | 152% |
| One Health Plan | $16 - $350 | 152% |
| Health Direct Partners | $17 | 161% |
| Laughlin Coalition | $180 - $426 | 1705% |
| Zuffa | $277 - $656 | 2623% |
| Nevada Hand | $281 - $295 | 2661% |
| Clark County Detention Center | $312 - $328 | 2955% |
| Hometown Health Plan of Nevada | $333 - $350 | 3153% |