Comprehensive metabolic panel at Samuel Mahelona Memorial Hospital. CPT 80053.
What Samuel Mahelona Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$91.65cash price (self-pay)
$141list price
$10.56–$137range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hawaii Western Management Group | Commercial | $10.56 |
| Hawaii Medical Service Association | Commercial | $13.20 |
| Hawaii Medical Service Association | ABD | $14.61 |
| UnitedHealthcare | Medicaid | $14.61 |
| Hawaii Medical Service Association | Non-ABD | $15.34 |
| University Health Alliance | Commercial | $27.32 |
| AlohaCare | Medicaid | $70.50 |
| AlohaCare | Medicare | $70.50 |
| Hawaii Medical Service Association | Medicare | $70.50 |
| Humana | Medicare | $70.50 |
| Kaiser Permanente | Medicare | $70.50 |
| Ohana Health Plan | Medicaid | $70.50 |
| Ohana Health Plan | Medicare | $70.50 |
| UnitedHealthcare | Medicare | $70.50 |
| Kaiser Permanente | Medicaid | $71.91 |
| Devoted Health | Medicare | $77.55 |
| Health Management Network | Commercial | $120 |
| Kaiser Permanente | Commercial | $127 |
| MDX Hawaii | PPO | $137 |
Inpatient
$91.65cash price (self-pay)
$141list price
$120–$137range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Management Network | Commercial | $120 |
| Kaiser Permanente | Commercial | $127 |
| MDX Hawaii | PPO | $137 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.