Comprehensive metabolic panel at Dominican Hospital. CPT 80053.

What Dominican Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$195cash price (self-pay)

$818list price

$10.56–$1,023range insurers pay

Insurance plan	Negotiated rate
Blue Shield CA \| Medicare\|All Plans	$10.56
Health Net \| Medicare\|All Plans	$10.56
Kaiser \| Medicare\|All Plans	$10.56
United \| Medicare\|All Plans	$10.56
Blue Shield CA \| Commercial\|DHMF	$12.04
United \| Commercial\|All Other Plans	$12.67
United \| Commercial\|HMO	$12.67
United \| Commercial\|Non-Options PPO	$12.67
United \| Commercial\|Options PPO	$12.67
BCBS - Anthem \| Medicaid\|All Plans	$13.18
COSC Psych \| Medicaid\|All Plans	$13.18
Central California Alliance for Health \| Medicaid\|All Plans	$13.18
Health Net \| Medicaid\|< 21	$19.94
Health Net \| Medicaid\|> 21	$19.94
Sutter Health \| Commercial\|All Plans	$33.05
Cigna \| Commercial\|LocalPlus	$94.50
Cigna \| Commercial\|All Other Plans	$101
Aetna \| Commercial\|HMO	$111
Aetna \| Commercial\|PPO	$111
BCBS - Anthem \| Commercial\|All Other Plans	$166
BCBS - Anthem \| Commercial\|MCS	$232
Blue Shield CA \| Commercial\|ACO Trio	$376
Blue Shield CA \| Commercial\|Exchange	$376
Blue Shield CA \| Commercial\|All Other Plans	$458
Kaiser \| Commercial\|All Plans	$532
Western Growers \| Commercial\|All Plans	$573
Healthsmart \| Commercial\|All Plans	$654
First Health \| Commercial\|All Plans	$695
Multiplan \| Commercial\|All Plans	$695

$195cash price (self-pay)

$818list price

$346–$1,023range insurers pay

Insurance plan	Negotiated rate
Healthsmart \| Commercial\|All Plans	$654
First Health \| Commercial\|All Plans	$695
Multiplan \| Commercial\|All Plans	$695

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