Comprehensive metabolic panel at St. Luke's Boise Standard Charges. CPT 80053.
What St. Luke's Boise Standard Charges publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$47.00cash price (self-pay)
$47.00list price
$10.56–$42.30range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Tv Slhp St Lukes | $10.56 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Carepoint Qhp | $10.56 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Large Group | $10.56 |
| Commercial [1028] | Hb Tv Slhp Mountain Health Coop | $10.56 |
| Commercial [1028] | Hb Tv Slhp Select Health | $10.56 |
| Commercial [1028] | Hb Tv Slhp Select Health Qhp | $10.56 |
| Commercial [1028] | Hb Tv Va Ccn | $10.56 |
| Medicare Advantage Generic [1019] | Hb Tv Medicare Advantage | $10.56 |
| Medicare Advantage Generic [1019] | Hb Tv Molina Mmcp | $10.56 |
| Medicare Advantage Molina [1053] | Hb Tv Molina Mmcp | $10.56 |
| Medicare Advantage Pacificsource [1039] | Hb Tv Pacificsource HMO PPO | $10.56 |
| Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med | $10.56 |
| Medicare Advantage Regence [1016] | Hb Tv Medicare Advantage | $10.56 |
| Blue Cross/Medicare Advantage [1009] | Hb Tv Bci True & Secure Med Adv | $10.67 |
| Medicare Advantage Generic [1019] | Hb Tv Molina Med Adv | $10.77 |
| Medicare Advantage Molina [1053] | Hb Tv Molina Med Adv | $10.77 |
| Medicare Advantage Aetna [1017] | Hb Tv Aetna Med Adv | $11.62 |
| Blue Cross Out Of State [1041] | Hb Tv Bci Out Of State | $23.76 |
| Blue Shield Alt [100401] | Hb Tv Regence Out Of State | $23.76 |
| Commercial [1028] | Hb Tv Regence PPO & Traditional | $23.76 |
| Commercial [1028] | Hb Tv H2b | $35.25 |
| H2b [1068] | Hb Tv H2b | $35.25 |
| Aetna [1021] | Hb Tv Bp Aetna | $37.60 |
| Cigna [1062] | Hb Tv Cigna | $37.60 |
| Commercial [1028] | Hb Tv Bp Aetna | $37.60 |
| Commercial [1028] | Hb Tv Cigna | $37.60 |
| Commercial [1028] | Hb Tv Multiplan Primary Network | $37.60 |
| Commercial [1028] | Hb Tv United Healthcare | $38.54 |
| Geha [1065] | Hb Tv United Healthcare | $38.54 |
| Commercial [1028] | Hb Tv Ccn First Health | $38.78 |
Inpatient
$81.00cash price (self-pay)
$81.00list price
$52.65–$72.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Tv Slhp St Lukes | $52.65 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Carepoint Qhp | $52.65 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Large Group | $52.65 |
| Commercial [1028] | Hb Tv Slhp Mountain Health Coop | $52.65 |
| Commercial [1028] | Hb Tv Slhp Select Health | $52.65 |
| Commercial [1028] | Hb Tv Slhp Select Health Qhp | $52.65 |
| Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med | $52.65 |
| Mountain Health Co-Op [1067] | Hb Tv Slhp Mountain Health Coop | $52.65 |
| Pacificsource [1020] | Hb Tv Pacificsource Navigator Large Group | $52.65 |
| Pacificsource [1020] | Hb Tv Slhp Pacificsource Navigator Qhp | $52.65 |
| Select Health [1063] | Hb Tv Slhp Select Health | $52.65 |
| Select Health [1063] | Hb Tv Slhp Select Health Qhp | $52.65 |
| St Lukes Health Plan [1046] | Hb Tv Slhp St Lukes Health Plan Large Gr | $52.65 |
| St Lukes Health Plan [1046] | Hb Tv Slhp St Lukes Health Plan Qhp | $52.65 |
| Commercial [1028] | Hb Tv H2b | $60.75 |
| H2b [1068] | Hb Tv H2b | $60.75 |
| Pacificsource [1020] | Hb Tv Pacificsource PPO Voyager | $60.75 |
| Aetna [1021] | Hb Tv Bp Aetna | $64.80 |
| Cigna [1062] | Hb Tv Cigna | $64.80 |
| Commercial [1028] | Hb Tv Bp Aetna | $64.80 |
| Commercial [1028] | Hb Tv Cigna | $64.80 |
| Commercial [1028] | Hb Tv Multiplan Primary Network | $64.80 |
| Commercial [1028] | Hb Tv Va Ccn | $64.80 |
| Providence [1022] | Hb Tv Cigna | $64.80 |
| Commercial [1028] | Hb Tv United Healthcare | $66.42 |
| Geha [1065] | Hb Tv United Healthcare | $66.42 |
| United Healthcare [1025] | Hb Tv United Healthcare | $66.42 |
| United Medical Resources [1051] | Hb Tv United Healthcare | $66.42 |
| Commercial [1028] | Hb Tv Ccn First Health | $66.83 |
| First Health [1064] | Hb Tv Ccn First Health | $66.83 |
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