Comprehensive metabolic panel at White Memorial Medical Center. CPT 80053.
What White Memorial Medical Center publishes for this service, straight from its standard-charges file, last updated May 23, 2026.
Outpatient / ER
$2.29cash price (self-pay)
$1,157list price
$3.02–$1,859range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ahp - All Other Plans | Ahp - All Other Plans | $8.98 |
| Lasalle Mg Commercial - All Other Plans | Lasalle Mg Commercial - All | $8.98 |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | Bella Vista Mcr A | $9.50 |
| Access Senior - All Other Plans | Access Senior - All Other Plans | $10.56 |
| Care First Mcare - All Other Plans | Care First Mcare - All Other Plan | $10.56 |
| Healthcare Inc Medicare | Healthcare Inc Medicare | $10.56 |
| Humana Mcare - All Plans | Humana Mcare - All Plans | $10.56 |
| Lasalle Mg Senior | Lasalle Mg Senior | $10.56 |
| Molina Mcare | Molina Mcare | $10.56 |
| Preferred Senior | Preferred Senior | $10.56 |
| Healthcare Inc Medi-Cal | Healthcare Inc Medi-Cal | $12.11 |
| Medi-Cal | Medi-Cal | $12.11 |
| Molina Medi-Cal | Molina Medi-Cal | $12.11 |
| Pacific Alliance Medi-Cal | Pacific Alliance Medi-Cal | $12.11 |
| Preferred Ipa La Care Mcal Cap | Preferred Ipa La Care Mcal Cap | $12.11 |
| Assoc Hispanic Physcns HMO/Mcr Adv-All Other Plans | Assoc Hispanic Ph | $12.67 |
| Intergrated Medical - All Plans | Intergrated Medical - All Plans | $13.73 |
| Fcs Ipa Medi-Cal Op/Profee Only | Fcs Ipa Medi-Cal Op/Profee Only | $14.53 |
| Preferred Healthy | Preferred Healthy | $15.13 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $19.01 |
| Centivo - All Plans | Centivo - All Plans | $23.76 |
| Care First Medi-Cal | Care First Medi-Cal | $42.37 |
| Cigna | Cigna | $44.18 |
| Cigna All Other - All Other Plans | Cigna All Other - All Other Plans | $44.18 |
| Aetna - All Plans | Aetna - All Plans | $55.78 |
| Blue Cross Non Mcs | Blue Cross Non Mcs | $98.30 |
| Blue Cross Mcs - All Other Plans | Blue Cross Mcs - All Other Plans | $118 |
| Blue Shield Epn | Blue Shield Epn | $275 |
| Blue Shield - All Other Plans | Blue Shield - All Other Plans | $320 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $347 |
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