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Comprehensive metabolic panel at Davis County Hospital. CPT 80053.

What Davis County Hospital publishes for this service, straight from its standard-charges file, last updated July 24, 2026.

Outpatient / ER

$95.00cash price (self-pay)
$95.00list price
$9.50–$90.25range insurers pay
Insurance planNegotiated rate
Wellmark BCBS HMO | Wellmark BCBS HMO$9.50
Wellmark BCBS PPO - All Other Plans | Wellmark BCBS PPO - All Other Pl$10.47
Aetna Mcr Adv-All Plans | Aetna Mcr Adv-All Plans$47.50
Choicecare Mcr Adv | Choicecare Mcr Adv$49.40
Home State Hlth Mcr | Home State Hlth Mcr$49.40
Mt Carmel Hp-All Plans | Mt Carmel Hp-All Plans$49.40
Home State Hlth Exch - All Other Plans | Home State Hlth Exch - All Ot$49.40
Tricare-All Plans | Tricare-All Plans$49.40
Amerigroup Mcr Adv-All Other Plans | Amerigroup Mcr Adv-All Other Plan$50.39
American Hp Mcr Adv-All Plans | American Hp Mcr Adv-All Plans$51.87
Home State Hlth Mcaid | Home State Hlth Mcaid$57.00
Iowa Total Care Mcaid-All Plans | Iowa Total Care Mcaid-All Plans$58.14
Molina Mcaid-All Plans | Molina Mcaid-All Plans$59.00
Amerigroup Mcaid | Amerigroup Mcaid$59.28
Midlands Choice - All Plans | Midlands Choice - All Plans$66.50
Preferred Hlth Choices - All Plans | Preferred Hlth Choices - All Plan$71.25
Choicecare Comm - All Other Plans | Choicecare Comm - All Other Plans$90.25
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All common services at Davis County Hospital