Comprehensive metabolic panel at INDIANA ORTHOPAEDIC HOSPITAL LLC Northwest. CPT 80053.
What INDIANA ORTHOPAEDIC HOSPITAL LLC Northwest publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$170cash price (self-pay)
$243list price
$126–$211range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Hpn Healthsync | Anthem Hpn Healthsync | $126 |
| Anthem Sync All Others Sync | Anthem Sync All Others Sync | $126 |
| Anthem Sync - Purdue University | Anthem Sync - Purdue University | $126 |
| Anthem Sync For General Motors Employees Gm Symbol Sync | Anthem Sync | $126 |
| Anthem BCBS Hpn Blue High Performance Network (Hpn) | Anthem BCBS Hp | $132 |
| Anthem BCBS Anthem Enhanced Choice (Prefix E7b) | Anthem BCBS Anthem E | $132 |
| Anthem Blue Cross And Blue Shield | Anthem Blue Cross And Blue Shield | $132 |
| Anthem Geoblue BCBS International Plan | Anthem Geoblue BCBS Internati | $132 |
| Anthem HMO Blue Preferred | Anthem HMO Blue Preferred | $132 |
| Anthem Ichia Ichia | Anthem Ichia Ichia | $132 |
| Anthem Pathway Pathway HMO | Anthem Pathway Pathway HMO | $132 |
| Anthem Pathway Pathway POS | Anthem Pathway Pathway POS | $132 |
| Anthem Pathway X Pathway X HMO | Anthem Pathway X Pathway X HMO | $132 |
| Anthem Pathway X Pathway X POS | Anthem Pathway X Pathway X POS | $132 |
| Anthem PPO Blue Access | Anthem PPO Blue Access | $132 |
| Anthem Presumpt Eligbility | Anthem Presumpt Eligbility | $132 |
| Anthem Traditional Blue Traditional | Anthem Traditional Blue Traditio | $132 |
| BCBS | BCBS | $132 |
| BCBS - Federal Federal (Fep) | BCBS - Federal Federal (Fep) | $132 |
| BCBS - Premara Please Check For Pcp Auth Requirement | BCBS - Premara | $132 |
| BCBS Federal Employee Program | BCBS Federal Employee Program | $132 |
| BCBS Of South Carolina | BCBS Of South Carolina | $132 |
| BCBS Of X (E.G. Michigan) | BCBS Of X (E.G. Michigan) | $132 |
| BCBS Other (E.G. Highmark) | BCBS Other (E.G. Highmark) | $132 |
| Blue Cross Anthem Advantage | Blue Cross Anthem Advantage | $132 |
| Blue Cross Local | Blue Cross Local | $132 |
| All Savers | All Savers | $149 |
| Bind - Surest | Bind - Surest | $149 |
| Ascension Health Partners St. Vincent Employees | Ascension Health Par | $153 |
| Allegiance | Allegiance | $174 |
Inpatient
$33,507cash price (self-pay)
$77,569list price
$149–$77,569range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna | $180 |
| Aetna Open Access | Aetna Open Access | $180 |
| Aetna Apcn Apcn - Aetna Premium Care Network | Aetna Apcn Apcn - Aet | $180 |
| Aetna HMO Aetna Choice POS | Aetna HMO Aetna Choice POS | $180 |
| Aetna HMO Aetna Select | Aetna HMO Aetna Select | $180 |
| Aetna HMO Managed Choice HMO | Aetna HMO Managed Choice HMO | $180 |
| Aetna PPO Nap (National Advantage Program) | Aetna PPO Nap (National A | $180 |
| Aetna PPO Open Choice PPO | Aetna PPO Open Choice PPO | $180 |
| Aetna PPO Signature Administrators | Aetna PPO Signature Administrator | $180 |
| Aarp | Aarp | $22,338 |
| Aarp Medicare Complete | Aarp Medicare Complete | $22,338 |
| Aarp Medicare Complete Aarp Medicare Complete Via United | Aarp Medica | $22,338 |
| Aarp Medicare Complete/Wellmed Wellmed As Payor | Aarp Medicare Comple | $22,338 |
| Aarp Medicare Supplement Plan | Aarp Medicare Supplement Plan | $22,338 |
| Aarp Medicarecomplete Choice PPO | Aarp Medicarecomplete Choice PPO | $22,338 |
| Aarp Po 740819 | Aarp Po 740819 | $22,338 |
| Aarp Select Aarp Select Plan C & F | Aarp Select Aarp Select Plan C | $22,338 |
| Aarp Supplemental | Aarp Supplemental | $22,338 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $22,338 |
| Aetna Medicare HMO Aetna Golden Medicare Choice | Aetna Medicare HMO A | $22,338 |
| Aetna Medicare PPO Aetna Medicare | Aetna Medicare PPO Aetna Medicare | $22,338 |
| Aetna Medicare PPO Esa Aetna Medicare With Esa On Id Card | Aetna Medi | $22,338 |
| Aetna Medicare Uaw Esa Uaw Members With Esa On Id Card | Aetna Medicar | $22,338 |
| Aetna Medicare Uaw PPO Uwa Members With PPO Plan | Aetna Medicare Uaw | $22,338 |
| Aetna Senior Supplemental | Aetna Senior Supplemental | $22,338 |
| Aetna Senior Supplemental Insurance | Aetna Senior Supplemental Insura | $22,338 |
| Allwell - Mhs Mhs - Allwell | Allwell - Mhs Mhs - Allwell | $22,338 |
| Anthem Healthy Indiana Health Indiana Plan - Anthem | Anthem Healthy I | $22,338 |
| Anthem Hhw - St. Francis St Francis Only | Anthem Hhw - St. Francis St | $22,338 |
| Anthem Hip - St. Francis St. Francis Only | Anthem Hip - St. Francis S | $22,338 |
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All common services at INDIANA ORTHOPAEDIC HOSPITAL LLC Northwest