Comprehensive metabolic panel at St. Mary Medical Center. CPT 80053.

What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$166cash price (self-pay)

$387list price

$10.56–$310range insurers pay

Insurance plan	Negotiated rate
BCBS - Anthem \| Medicare\|All Plans	$10.56
Blue Shield CA \| Medicare\|All Other Plans	$10.56
Noble IPA \| Medicaid\|< 21	$11.86
Noble IPA \| Medicaid\|> 21	$11.86
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
HCLA \| Medicaid\|Preferred IPA < 21	$13.18
HCLA \| Medicaid\|Preferred IPA > 21	$13.18
Inland Empire Health Plan \| Medicaid\|All Plans	$13.18
Partnership Health Plan \| Medicaid\|< 21	$13.18
Partnership Health Plan \| Medicaid\|> 21	$13.18
Preferred IPA \| Medicaid\|Risk	$13.18
Angeles IPA \| Medicare\|All Plans	$13.18
HCLA \| Commercial\|Preferred IPA	$13.20
LA Care \| Commercial\|All Plans	$13.20
BCBS - Anthem \| Medicaid\|All Plans	$13.98
Health Net \| Medicaid\|< 21	$17.57
Health Net \| Medicaid\|> 21	$17.57
Molina \| Medicaid\|All Plans	$18.45
Kaiser \| Medicaid\|< 21	$19.77
Kaiser \| Medicaid\|> 21	$19.77
Cigna \| Commercial\|All Other Plans	$23.54
Cigna \| Commercial\|PPO	$23.54
LA Care \| Medicaid\|All Plans	$37.86
Blue Shield CA \| Medicaid\|All Plans	$65.90
Care 1st \| Medicaid\|All Plans	$65.90
BCBS - Anthem \| Commercial\|Exchange	$70.11
Aetna \| Commercial\|All Other Plans	$84.13

$277cash price (self-pay)

$645list price

$452–$645range insurers pay

Insurance plan	Negotiated rate
Kaiser \| Commercial\|All Plans	$452
MultiPlan \| Commercial\|All Plans	$516
SMIPA \| Medicare\|All Plans	$645

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