Comprehensive metabolic panel at Jacksonville Memorial Hospital. CPT 80053.
What Jacksonville Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$380cash price (self-pay)
$380list price
$0.59–$380range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Illinois Medicaid | $14.35 |
| Molina HealthCare | Molina Medicaid | $14.35 |
| Blue Cross Blue Shield | Blue Cross Community MMAI/Dual Eligible | $32.61 |
| Coventry | Coventry Advantra Medicare Advantage HMO | $34.96 |
| Health Alliance | Health Alliance Medicare Advantage | $34.96 |
| Humana | Humana/ChoiceCare Medicare Advantage PPO/HMO | $34.96 |
| Medicare | Medicare | $34.96 |
| United HealthCare | United HealthCare Medicare Advantage | $36.72 |
| Tricare | Tricare | $39.73 |
| WellCare Medicare Advantage PPO | WellCare Medicare Advantage PPO | $59.58 |
| UHC Va Ccn | UHC Va Ccn | $60.80 |
| Commercial Workers Compensation | Commercial Workers Compensation | $76.70 |
| Corvel/CorCare | Corvel/CorCare | $85.87 |
| Illinois Workers Compensation | Illinois Workers Compensation | $110 |
| Health Alliance MH Employee plan | Health Alliance MH Employee plan | $175 |
| 6 Degrees Health | 6 Degrees Health | $228 |
| Hope Trust | Hope Trust | $228 |
| Hst | Hst | $228 |
| Health Alliance | Health Alliance Fully Insured/Self Funded/ACA | $258 |
| Cigna | Cigna | $263 |
| United Healthcare | United Healthcare PPO | $274 |
| Aetna | Aetna PPO | $285 |
| Current Health Network | Current Health Network | $285 |
| Healthlink | Healthlink HMO | $323 |
| Humana/ChoiceCare | Humana/ChoiceCare | $324 |
| PHCS/Multiplan | PHCS/Multiplan PPO | $342 |
| Hfn | Hfn PPO | $361 |
| HFN | HFN Workers Compensation | $361 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $380 |
| Liability | Liability | $380 |
Inpatient
$380cash price (self-pay)
$380list price
$175–$380range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance MH Employee plan | Health Alliance MH Employee plan | $175 |
| Current Health Network | Current Health Network | $209 |
| 6 Degrees Health | 6 Degrees Health | $228 |
| Hope Trust | Hope Trust | $228 |
| Hst | Hst | $228 |
| Cigna | Cigna | $263 |
| Aetna | Aetna PPO | $266 |
| Humana/ChoiceCare | Humana/ChoiceCare | $324 |
| Hfn | Hfn PPO | $361 |
| HFN | HFN Workers Compensation | $361 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $380 |
| Liability | Liability | $380 |
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