Comprehensive metabolic panel at San Gabriel Valley Medical Center. CPT 80053.
What San Gabriel Valley Medical Center publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$5.31cash price (self-pay)
$1,026list price
$4.42–$1,026range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AHMC Medi-Cal Reciprocity | AHMC Medi-Cal Reciprocity | $9.19 |
| Allied Physicians | Allied Physicians Medi-Cal | $9.19 |
| AltaMed Health Network | AltaMed Health Network Medi-Cal | $9.19 |
| Beverly Hospital | BEVERLY HOSPITAL MCL | $9.19 |
| Blue Cross Medi-Cal Managed Care | Blue Cross Healthy Families | $10.11 |
| United Healthcare Senior Medicare Advantage | United Healthcare Senior | $10.35 |
| Aetna Health of California | Aetna Senior | $10.35 |
| Alignment Health Plan | Alignment Health Plan | $10.35 |
| Allied Physicians | Allied Physicians Senior | $10.35 |
| AltaMed Health Network | AltaMed Health Network Senior | $10.35 |
| Anthem Blue Cross | Anthem Blue Cross Medicare Advantage | $10.35 |
| APA/ACO Inc | APA/ACO Inc | $10.35 |
| Avanti | Avanti Medicare | $10.35 |
| Beverly Hospital | BEVERLY HOSPITAL MCARE | $10.35 |
| AIDS Healthcare Foundation | AIDS Hlth Fndn/Positive Hlth Mcal | $10.56 |
| AIDS Healthcare Foundation | AIDS Hlth Fndn/Positive Hlth Mcare | $10.56 |
| Avanti | Avanti Medi-cal | $10.56 |
| Blue Cross Medi-Cal Managed Care | Blue Cross Medi-Cal | $11.03 |
| Beverly Hospital | BEVERLY HOSPITAL COMM/EPO | $11.62 |
| Athens Administrators | Athens Administrators AHMC WC | $12.67 |
| Avanti | Avanti Commercial | $12.67 |
| Avanti | Avanti Self-Funded EPO/PPO | $12.67 |
| Beech Street | Beech Street Workers Compensation | $12.67 |
| AHMC Health Self-Insurance EPO | AHMC Health EPO | $13.20 |
| Anthem Blue Cross | Anthem Blue Cross Covered California Exchange | $13.73 |
| Aetna Health of California | Aetna Covered CA | $15.31 |
| Allied Physicians | Allied Physicians Commercial | $15.84 |
| Aetna Health of California | Aetna | $18.33 |
| Anthem Blue Cross | Anthem Blue Cross Priority Select HMO | $45.24 |
| Anthem Blue Cross | Anthem Blue Cross Select HMO | $45.24 |
Inpatient
$5.31cash price (self-pay)
$1,026list price
$14.16–$1,026range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Beech Street | Beech Street PPO | $821 |
| MultiPlan | MultiPlan PPO | $923 |
| PPO Next | PPO Next | $923 |
| Other Non Contracted Commercial | Other Non Contracted Commercial | $1,026 |
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