Comprehensive metabolic panel at Providence Saint John's Health Center. CPT 80053.
What Providence Saint John's Health Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$28.35cash price (self-pay)
$318list price
$10.56–$101range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $10.56 |
| Humana | Choicecare Medicare Managed Care Plan | $10.77 |
| Central Health Plan | Medicare Managed Care Plan | $11.62 |
| La Care Health Plan | Covered Ca Exchange | $13.73 |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $14.98 |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $16.87 |
| Healthnet | Ambetter Hmo | $19.54 |
| Unitedhealthcare | All Commercial Plans | $21.12 |
| Unitedhealthcare | Select/Navigate Hmo | $21.12 |
| Healthnet | Ambetter Ppo | $22.60 |
| Cigna | All Commercial Plans | $26.21 |
| Aetna | All Commercial Plans | $30.70 |
| Blue Shield | Epn/Ifp Benefit Exchange | $32.78 |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $65.43 |
| Blue Cross | All Commercial Plans | $67.86 |
| Blue Shield | Hmo | $72.67 |
| Blue Shield | Ppo/Epo | $72.67 |
| Blue Shield | Medicare Managed Care Plan | $101 |
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All common services at Providence Saint John's Health Center