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Comprehensive metabolic panel at Memorial Hospital of South Bend. CPT 80053.

What Memorial Hospital of South Bend publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$67.60cash price (self-pay)
$104list price
$5.66–$104range insurers pay
Insurance planNegotiated rate
McLaren | MI Medicaid$5.66
UHC | MI Medicaid$5.66
Anthem | Commercial (Granger)$9.65
Anthem | Exchange$10.56
Anthem | IN Medicaid HCC$10.56
Anthem | IN Medicaid HHW$10.56
Anthem | IN Medicaid HIP$10.56
Anthem | Medicare Advantage$10.56
Anthem | Pathways for Aging$10.56
Caresource | IN Medicaid HHW$10.56
Caresource | IN Medicaid HIP$10.56
Humana | Medicare Advantage$10.56
Humana | Pathways for Aging$10.56
MHS | IN Medicaid HCC$10.56
MHS | IN Medicaid HHW$10.56
MHS | IN Medicaid HIP$10.56
MdWise | IN Medicaid HHW$10.56
MdWise | IN Medicaid HIP$10.56
PACE | Medicare$10.56
UHC | IN Medicaid HCC$10.56
Anthem | HealthSync$14.95
Anthem | Commercial (excludes Granger)$15.73
Devoted Healthcare | Medicare Advantage$15.95
Caresource | Exchange$16.90
Anthem | Workers Compensation$20.06
Aetna | Medicare Advantage$28.68
MHS | Exchange$43.30
Plain Church | Commercial$49.52
CHA | Employer Group 4$62.40
Immergrun | Commercial$62.40

Inpatient

$67.60cash price (self-pay)
$104list price
$20.80–$85.28range insurers pay
Insurance planNegotiated rate
Devoted Healthcare | Medicare Advantage$20.80
Multiplan | Commercial$67.60
Cigna | OAP$72.80
UHC | Commercial$75.09
Humana | Commercial$75.92
Aetna | Commercial$76.54
CHA | Employer Group 5$78.00
CHA | Employer Group 6$83.20
Cigna BH | Commercial$83.20
Immergrun | Commercial$83.20
Plain Church | Commercial$83.20
Cigna | PPO$85.28
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All common services at Memorial Hospital of South Bend