Comprehensive metabolic panel at Adventist Health Clearlake Hospital. CPT 80053.

What Adventist Health Clearlake Hospital publishes for this service, straight from its standard-charges file, last updated July 29, 2026.

Outpatient / ER

$4.57cash price (self-pay)

$217list price

$1.34–$195range insurers pay

Insurance plan	Negotiated rate
Bc Managed Mcal \| Bc Managed Mcal	$12.11
Medi-Cal \| Medi-Cal	$12.11
Partnership Mcal - All Plans \| Partnership Mcal - All Plans	$12.11
UHC Mcr Adv \| UHC Mcr Adv	$22.92
Kaiser Mcr Adv \| Kaiser Mcr Adv	$45.57
Tricare Blue Shield- All Plans \| Tricare Blue Shield- All Plans	$45.57
Blue Shield Mcr Adv \| Blue Shield Mcr Adv	$45.57
Blue Cross Mcr Adv \| Blue Cross Mcr Adv	$47.39
Ah Employee Health Plan - All Plans \| Ah Employee Health Plan - All Pl	$91.14
Blue Cross Exchange \| Blue Cross Exchange	$92.79
Blue Cross Non-Mcs \| Blue Cross Non-Mcs	$103
Blue Cross Mcs - All Other Plans \| Blue Cross Mcs - All Other Plans	$124
Aetna- All Plans \| Aetna- All Plans	$162
Western Growers- All Plans \| Western Growers- All Plans	$163
Blue Shield Epn - All Other Plans \| Blue Shield Epn - All Other Plans	$167
Blue Shield Non-Epn \| Blue Shield Non-Epn	$167
UHC Jll \| UHC Jll	$172
First Health- All Plans \| First Health- All Plans	$174
Healthnet- All Plans \| Healthnet- All Plans	$178
UHC All Payer - All Other Plans \| UHC All Payer - All Other Plans	$181
Health Mgmt Network- All Plans \| Health Mgmt Network- All Plans	$184
Phcs- All Plans \| Phcs- All Plans	$184
Foundation- All Plans \| Foundation- All Plans	$184
Humana- All Plans \| Humana- All Plans	$184
Cigna- All Plans \| Cigna- All Plans	$195
Interplan- All Plans \| Interplan- All Plans	$195
Kaiser- All Other Plans \| Kaiser- All Other Plans	$195
Three Rivers Provider Network- All Plans \| Three Rivers Provider Netwo	$195

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