Comprehensive metabolic panel at BSA Hospital. CPT 80053.
What BSA Hospital publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$27.70cash price (self-pay)
$277list price
$8.87–$235range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Insurance Management Services (Ims) [1540] | Ims Bsa Employees [154001 | $96.95 |
| Texas Childrens Health Plan [3995] | Texas Childrens Health Plan [3995 | $108 |
| Scott And White Medicaid Replacement [3730] | Scott And White Health P | $108 |
| Fidelis Care Of NY Medicaid Replacement [3865] | Fidelis Care Of NY Me | $108 |
| UHC Medicaid Replacement [3755] | UHC Medicaid Community Plan [375501] | $108 |
| Black Lung [6055] | Black Lung [605500] | $108 |
| Healthscope Benefits [2290] | Healthscope Benefits [229000] | $108 |
| Caprock Health Plans [1200] | Caprock Health Plan [120004] | $108 |
| Insurance Management Services (Ims) [1540] | Ims Randall County [15400 | $116 |
| Insurance Management Services (Ims) [1540] | Ims In Network [154002] | $125 |
| American Healthcare [1055] | American Healthcare [105500] | $139 |
| Nreca [1735] | Nreca [173500] | $170 |
| Tml [1980] | Tml [198000] | $170 |
| Phoenix Home Life [1785] | Phoenix Home Life [178500] | $194 |
| Principal Mutual Life [1845] | Principal Colorado Claims [184500] | $194 |
| Northamerica Administrators [1725] | Northamerica Administrators [1725 | $194 |
| Phcs [1780] | Freedom Life [178009] | $194 |
| Phcs [1780] | Phcs Multiplan [178000] | $194 |
| Pan American Life Insurance Co [1770] | Pan American Life [177000] | $194 |
| Rh Administrators [1885] | Rh Administrators [188500] | $194 |
| Beech Street [1170] | Beech Street/Cappcare Misc [117000] | $194 |
| Equitable [1355] | Equitable Ins [135500] | $194 |
| Assurant Health [1105] | Assurant Health [110501] | $194 |
| Benefit Management [1175] | Benefit Management [117500] | $194 |
| Ge Group Administrators [1405] | Ge Group Administrators [140500] | $194 |
| National Association Of Letter Carriers [1695] | Nalc [169500] | $201 |
| Coresource [1315] | Coresource [131500] | $201 |
| Reserve National [1880] | Reserve National [188000] | $208 |
| Rural Carrier Benefit Plan [1895] | Rural Carrier Benefit Plan [189500 | $208 |
| Meritain Health [1655] | Meritain Health [165500] | $208 |
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