Comprehensive metabolic panel at St. Luke's McCall Standard Charges. CPT 80053.
What St. Luke's McCall 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
$27.26–$45.12range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Mccall Va Ccn | $27.26 |
| Medicare Advantage Generic [1019] | Hb Mccall Medicare Advantage | $27.26 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Mmcp | $27.26 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Mmcp | $27.26 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Pacificsource HMO | $27.26 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Slhp Pacificsource | $27.26 |
| Medicare Advantage Regence [1016] | Hb Mccall Medicare Advantage | $27.26 |
| Veterans Affairs [1056] | Hb Mccall Va Ccn | $27.26 |
| Blue Cross/Medicare Advantage [1009] | Hb Mccall Bci True & Secure Med | $27.53 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Med Adv | $27.81 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Med Adv | $27.81 |
| Medicare Advantage Aetna [1017] | Hb Mccall Aetna Med Adv | $29.99 |
| Commercial [1028] | Hb Mccall Multiplan Primary Network | $37.60 |
| Commercial [1028] | Hb Mccall Amps | $39.95 |
| Commercial [1028] | Hb Mccall Christian Health Aid | $39.95 |
| Blue Cross Federal [1008] | Hb Mccall Bci | $41.36 |
| Blue Cross Idaho [1007] | Hb Mccall Bci | $41.36 |
| Blue Cross Out Of State [1041] | Hb Mccall Bci | $41.36 |
| Commercial [1028] | Hb Mccall Moda Commercial | $41.36 |
| Moda [1055] | Hb Mccall Moda Commercial | $41.36 |
| Aetna [1021] | Hb Mccall Aetna Trinity Health (St Al'S) | $42.30 |
| Commercial [1028] | Hb Mccall Northern Nevada Laborers Trust | $42.30 |
| Cigna [1062] | Hb Mccall Cigna | $43.71 |
| Commercial [1028] | Hb Mccall Cigna | $43.71 |
| Providence [1022] | Hb Mccall Cigna | $43.71 |
| Pacificsource [1020] | Hb Mccall Pacificsource PPO Voyager | $44.18 |
| Aetna [1021] | Hb Mccall Bp Aetna | $44.65 |
| Commercial [1028] | Hb Mccall Bp Aetna | $44.65 |
| Commercial [1028] | Hb Mccall First Choice Health | $44.65 |
| First Health [1064] | Hb Mccall First Choice Health | $44.65 |
Inpatient
$81.00cash price (self-pay)
$81.00list price
$46.98–$77.76range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Mccall Va Ccn | $46.98 |
| Medicare Advantage Generic [1019] | Hb Mccall Medicare Advantage | $46.98 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Mmcp | $46.98 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Mmcp | $46.98 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Pacificsource HMO | $46.98 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Slhp Pacificsource | $46.98 |
| Medicare Advantage Regence [1016] | Hb Mccall Medicare Advantage | $46.98 |
| Veterans Affairs [1056] | Hb Mccall Va Ccn | $46.98 |
| Blue Cross/Medicare Advantage [1009] | Hb Mccall Bci True & Secure Med | $47.45 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Med Adv | $47.92 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Med Adv | $47.92 |
| Medicare Advantage Aetna [1017] | Hb Mccall Aetna Med Adv | $51.68 |
| Commercial [1028] | Hb Mccall Multiplan Primary Network | $64.80 |
| Commercial [1028] | Hb Mccall Amps | $68.85 |
| Commercial [1028] | Hb Mccall Christian Health Aid | $68.85 |
| Blue Cross Federal [1008] | Hb Mccall Bci | $71.28 |
| Blue Cross Idaho [1007] | Hb Mccall Bci | $71.28 |
| Blue Cross Out Of State [1041] | Hb Mccall Bci | $71.28 |
| Commercial [1028] | Hb Mccall Moda Commercial | $71.28 |
| Moda [1055] | Hb Mccall Moda Commercial | $71.28 |
| Aetna [1021] | Hb Mccall Aetna Trinity Health (St Al'S) | $72.90 |
| Commercial [1028] | Hb Mccall Northern Nevada Laborers Trust | $72.90 |
| Cigna [1062] | Hb Mccall Cigna | $75.33 |
| Commercial [1028] | Hb Mccall Cigna | $75.33 |
| Providence [1022] | Hb Mccall Cigna | $75.33 |
| Pacificsource [1020] | Hb Mccall Pacificsource PPO Voyager | $76.14 |
| Aetna [1021] | Hb Mccall Bp Aetna | $76.95 |
| Commercial [1028] | Hb Mccall Bp Aetna | $76.95 |
| Commercial [1028] | Hb Mccall First Choice Health | $76.95 |
| First Health [1064] | Hb Mccall First Choice Health | $76.95 |
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