Comprehensive metabolic panel at Good Samaritan Hospital. CPT 80053.
What Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,215cash price (self-pay)
$3,215list price
$10.56–$3,215range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $10.56 |
| Aetna | MCRHMO | $10.56 |
| Aetna | MCRPOS | $10.56 |
| Aetna | MCRPPO | $10.56 |
| Affinity Medical Group | MCR | $10.56 |
| Alignment Health Plan | MGMCR | $10.56 |
| Anthem | MCR | $10.56 |
| Central Health Plan | MCR | $10.56 |
| Clever Care of Golden State | MCR | $10.56 |
| Easy Choice Health Plan | MCR | $10.56 |
| Humana | MCR | $10.56 |
| On Lok Senior Health | MCR | $10.56 |
| Blue Shield | MCRHMO | $10.77 |
| Blue Shield | MCRPOS | $10.77 |
| Blue Shield | MCRPPO | $10.77 |
| Blue Shield | MCRSNP | $10.77 |
| Blue Shield | PFFS | $10.77 |
| Care1st Health Plan | MCR | $10.77 |
| Astiva Health | MGMCR | $11.62 |
| Imperial Insurance | MCR | $11.62 |
| CorVel Corporation | WORKERSCOMP | $12.32 |
| Blue Shield | TRICARE | $12.35 |
| Health Net | Tricare | $12.35 |
| Anthem | Medi-Cal | $13.05 |
| Affinity Medical Group Comm | COMM | $13.73 |
| Affinity Medical Group Comm | POS | $13.73 |
| Canopy | COMM | $19.01 |
| Blue Shield | COMM | $20.83 |
| Blue Shield | EPN | $20.83 |
| Bright Health | COMM | $21.12 |
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