Comprehensive metabolic panel at UCLA Santa Monica Medical Center. CPT 80053.
What UCLA Santa Monica Medical Center publishes for this service, straight from its standard-charges file, last updated March 29, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$9.28–$30.31range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| LA care Medi-Cal HMO | Medi-Cal HMO | $9.28 |
| Aetna Medicare | Medicare | $10.56 |
| Blue Shield | Medicare Advantage | $10.56 |
| Health Plan of Nevada Medicare | Medicare | $10.56 |
| LA Care DSNP | Medicare HMO | $10.56 |
| Monarch | Medicare | $10.56 |
| Redlands Community Medicare | Medicare | $10.56 |
| St. Jude | Medicare HMO | $10.56 |
| TriWest Healthcare Alliance | Other Government | $10.56 |
| UCLA Health Medicare Advantage Plan | Medicare Advantage | $10.56 |
| UHC Mediare Advantage | Medicare Advantage | $10.56 |
| Providence Healthcare | Medicare | $11.62 |
| Torrance Memorial Medicare | HMO-Medicare | $11.62 |
| Central Health Plan | Medicare HMO | $12.67 |
| HealthSmart | Workers Compensation | $12.67 |
| SCAN | Medicare | $14.26 |
| LA Care Covered CA | HMO | $14.78 |
| Anthem Vivity-Anthem HMO | All Products-HMO | $15.62 |
| Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $17.54 |
| Centivo | PPO | $25.34 |
| Health Plan of Nevada Commercial | All Products | $29.15 |
| Optum | Medicare | $30.31 |
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