Comprehensive metabolic panel at Dupont Hospital. CPT 80053.
What Dupont Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3.03cash price (self-pay)
$38.00list price
$3.03–$428range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem BCBS | Anthem IN Healthsync | $7.78 |
| Anthem | Anthem IN HMO PPO TRAD | $7.78 |
| Anthem | Anthem IN Marketplace STLD | $7.78 |
| Amish Aid | Amish Aid | $10.26 |
| Anthem BCBS | Anthem IN HIP | $10.56 |
| IN Dept of Correction | IN DOC | $10.98 |
| Lutheran Preferred | Lutheran Preferred CHS Employees | $11.29 |
| Cigna | Cigna HMO | $12.27 |
| Cigna | Cigna PPO | $13.79 |
| Aetna | Aetna NBD | $14.06 |
| Aetna PSSD J and J | Aetna PSSD JJ | $14.06 |
| Lutheran Preferred | Lutheran Preferred Three Rivers Plus | $15.20 |
| Lutheran Advanced Network | Lutheran Advanced Network | $15.84 |
| Lutheran Preferred Fixed 2 | Lutheran Preferred Fixed 2 | $15.84 |
| Lutheran Preferred | Lutheran Three Rivers Preferred Plus 150 | $15.84 |
| Managed Health Services | MHS | $15.84 |
| Align IN Work Comp | Align IN Work Comp | $16.90 |
| Anthem BCBS | Anthem IN Work Comp | $16.90 |
| Aetna | Aetna | $16.99 |
| Lutheran Preferred | Lutheran Preferred Fixed | $17.10 |
| Lutheran Preferred | Lutheran Preferred Inclusive | $17.10 |
| Lutheran Preferred | Lutheran Preferred Three Rivers | $17.10 |
| Lutheran Preferred | Lutheran Three Rivers Preferred Plus 175 | $18.48 |
| Encore PPO | Encore Combined PPO | $19.00 |
| Lutheran Preferred | Lutheran Preferred Exclusive Plus | $19.00 |
| Lutheran Network | Lutheran Preferred Exclusive Plus MRM | $19.00 |
| Encore Work Comp IN | Encore Work Comp IN | $19.01 |
| Medical Mutual of OH | Medical Mutual of Ohio | $20.14 |
| Lutheran Preferred | Lutheran Preferred Choice | $20.90 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $20.90 |
Inpatient
$5.05cash price (self-pay)
$38.00list price
$3.34–$428range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred | Lutheran Preferred CHS Employees | $11.29 |
| Cigna | Cigna HMO | $12.27 |
| Cigna | Cigna PPO | $13.79 |
| Aetna | Aetna NBD | $14.06 |
| Aetna PSSD J and J | Aetna PSSD JJ | $14.06 |
| Physicians Health Plan | PHP Platinum Network | $14.71 |
| Aetna | Aetna | $16.99 |
| Self Pay | Self Pay | $17.10 |
| Medical Mutual of OH | Medical Mutual of Ohio | $20.14 |
| Lutheran Preferred | Lutheran Preferred Choice | $20.90 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $20.90 |
| Lutheran Preferred | Lutheran Preferred CCSI | $22.80 |
| Prime Health Services | Prime Health Services | $28.50 |
| Prime Health Services | Prime Health Services Auto | $28.50 |
| FrontPath | FrontPath Health Coalition | $30.40 |
| Encore Health Network | Encore Fully Funded | $31.16 |
| Advantage Health Solutions | Advantage Health Solutions | $31.54 |
| Multiplan | Multiplan PPO Primary Network | $32.68 |
| Allied Benefit Systems | Allied Benefit Systems | $34.20 |
| Encore Health Network | Encore Self Funded | $34.20 |
| Multiplan | Multiplan PPO Complimentary Network | $34.20 |
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