Comprehensive metabolic panel at Ascension Alexian Brothers Behavioral Health Hospital. CPT 80053.
What Ascension Alexian Brothers Behavioral Health Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$10.56–$36.12range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | 1614_cigna (Ab,Sa) 20231001 | $10.56 |
| UHC | 1711_uhc (Ab,Sa) 20240101 | $10.56 |
| Smarthealth | 1302_smarthealth (Abbhh) 20230101 | $15.19 |
| Smarthealth | 1524_smarthealth (Abil,Ahil,Agil,Amil) 20230101 | $15.19 |
| Smarthealth | 1643_smarthealth (Ab,Sa) Inpatient 20231001 | $15.19 |
| Smarthealth | 1696_smarthealth (Ab,Sa) Outpatient 20240101 | $15.19 |
| UHC | 1672_uhc (Bo,Go,Hn,Lg) 20231001 | $17.72 |
| Aetna HMO | 1717_aetna HMO (Ab,Sa) 20240101 | $24.71 |
| Aetna PPO | 1720_aetna PPO (Ab,Sa) 20240101 | $24.71 |
| Cigna C5 | 1298_cigna C5 (Ab,Sa) 20230201 | $35.42 |
| Cigna Local Plus | 1714_cigna Local Plus (Ab,Sa) 20240101 | $35.42 |
Inpatient
—cash price (self-pay)
—list price
$10.56–$36.12range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Family Health Plan | 1750_medicaid Advantage Family Health Plan (Sa) 2 | $36.12 |
| Medicaid Replacement 100% | 1736_medicaid Advantage Molina 20240301 | $36.12 |
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All common services at Ascension Alexian Brothers Behavioral Health Hospital