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See a sample rate comparisonCPT 80051 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Electrolyte Testing, An Electrolyte Panel Is A Blood Test That Measures Levels Of Sodium Potassium Chloride And Bicarbonate In The Blood. It Commonly Helps Monitor Medication Effects And Evaluate Kidney Function.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Organ or Disease Oriented Panels |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | QW - CLIA Waived Tests 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $7.01 national lab fee schedule rate (2026) · View Medicare rates for 80051 |
| Medicaid Fee Schedule | $6.445 median of the 8 states in the free preview · View Medicaid rates for 80051 |
National average reimbursement for CPT 80051 by major payers:
$6.01
$4.88
$8.33
$10.25
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CPT 80051
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$15.42Published rateHilton Head Health System, L.P., Hilton Head Hospital
$7.01Published ratePrisma Health-Upstate, Prisma Health Ob/Gyn Clinic
Prisma Health - Upstate
$6.30Published rateMother Frances Hospital Regional Health Care Center, Christus Mother Frances Hospital Tyler
Mother Frances Hospital Regional Health Care Center
$4.21Published rateChristus Health Ark-La-Tex, Christus St. Michael Health System
Christus Health Arklatex
$2.94Published rate
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See a sample payer proposalCPT 80051 vs. Other Organ or Disease Oriented Panels Codes
The CPT 80051 code is part of the Pathology and Laboratory Procedures services used for Organ or Disease Oriented Panels. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 80051 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 80047-CPT | Low | Basic Metablc Pnl Ionized Ca, Basic Metabolic Panel (Calcium Ionized) This Panel Must Include The Following: Calcium Ionized (82330) Carbon Dioxide (Bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (Bun) (84520) |
| 80048-CPT | Low | Basic Metabolic Pnl Total Ca, Basic Metabolic Panel (Calcium Total) This Panel Must Include The Following: Calcium Total (82310) Carbon Dioxide (Bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (Bun) (84520) |
| 80051-CPT | Low | Electrolyte Testing, An Electrolyte Panel Is A Blood Test That Measures Levels Of Sodium Potassium Chloride And Bicarbonate In The Blood. It Commonly Helps Monitor Medication Effects And Evaluate Kidney Function. |
| 80053-CPT | Low | Comprehen Metabolic Panel, Comprehensive Metabolic Panel This Panel Must Include The Following Albumin 82040 Bilirubin Total 82247 Calcium Total 82310 Carbon Dioxide Bicarbonate 82374 Chloride 82435 Creatinine 82565 Glucose 82947 Phosphatase Alkaline 84075 Potassium 84132 Protein Total 84155 Sodium 84295 Transferase Alanine Amino Alt Sgpt 84460 Transferase Aspartate Amino Ast Sgot 84450 Urea Nitrogen Bun 84520 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 80051. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80051 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
To get an accurate estimate for a specific medical procedure, especially considering your location and the specific CPT code, it's best to use a specialized tool. I recommend using **Payerprice's fee schedule lookup tool**. You can search with the CPT code and your specific location to find relevant pricing information.
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit numeric codes used by healthcare providers to describe medical, surgical, and diagnostic services to payers for reimbursement. They are crucial for accurate billing, understanding the services rendered, and looking up procedure costs, which you can do using tools like Payerprice's lookup tool with the CPT code and your location.
Finding transparent pricing can be challenging, but tools are emerging to help consumers. For specific procedure costs based on CPT codes and your location, you can utilize platforms designed for price transparency. I recommend checking out **Payerprice's fee schedule lookup tool**, which allows you to search with a CPT code and specific location to get pricing insights.
Healthcare costs vary significantly due to several factors, including the type of facility (e.g., hospital vs. outpatient clinic), geographic location, insurance plan negotiations, provider fees, and the complexity of the service. Even for the exact same CPT-coded procedure, prices can differ widely. Tools like Payerprice can help you compare costs for specific CPT codes in your area to understand these variations better.
A medical fee schedule is a comprehensive list of fees used by healthcare providers and insurers to determine the maximum allowable amount payable for medical services, procedures, and supplies. These schedules are often based on CPT codes and can vary by payer, location, and type of service. To look up specific fee schedules for CPT codes and locations, consider using **Payerprice's fee schedule lookup tool**.