Comprehensive metabolic panel at Northwest Health - Porter. CPT 80053.
What Northwest Health - Porter publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$167cash price (self-pay)
$617list price
$5.00–$518range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Anthem IN HMO PPO TRAD | $7.78 |
| Anthem | Anthem IN Marketplace STLD | $7.78 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $10.35 |
| NODE Anthem IN MCR ADV | NODE Anthem IN MCR ADV | $10.35 |
| NODE Humana MCR ADV | NODE Humana MCR ADV | $10.35 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $10.55 |
| Anthem | Anthem IN HIP | $10.56 |
| Anthem | Anthem IN Medicaid | $10.56 |
| CareSource | Caresource HHW IN Medicaid | $10.56 |
| CareSource | CareSource IN HIP | $10.56 |
| Humana PathWays IN Medicaid | Humana PathWays IN Medicaid | $10.56 |
| Healthy Indiana Plan | IN HIP | $10.56 |
| Indiana Medicaid | IN Medicaid | $10.56 |
| Indiana Medicaid Non Par | IN Medicaid Non Par | $10.56 |
| MHS | MHS HCC IN Medicaid | $10.56 |
| Managed Health Services | MHS HHW IN Medicaid | $10.56 |
| Managed Health Services | MHS IN HIP | $10.56 |
| NODE Hospice Non Par Agree | NODE Hospice Non Par | $10.56 |
| Care Improvement Plus | NODE Care Improvement Plus MCR ADV | $10.87 |
| IN Dept of Correction | IN DOC | $10.98 |
| Anthem Blue Cross Blue Shield | NODE Anthem Essentials Marketplace | $15.84 |
| Align Network | Align Network | $16.90 |
| Encore Health | Encore Health WC | $19.01 |
| Aetna | Aetna HMO/POS | $20.16 |
| Indiana Work Comp | Indiana Work Comp | $21.12 |
| Lutheran Preferred | Lutheran Northwest Health Preferred | $21.12 |
| Managed Health Services | MHS COM Exchange | $21.12 |
| NODE Encore KBA EPO | NODE Encore KBA EPO | $25.34 |
| Magnacare MA | NODE Magnacare | $26.90 |
| Lutheran Preferred CHS Employees | Lutheran Preferred CHS Employees | $148 |
Inpatient
$222cash price (self-pay)
$617list price
$148–$518range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred CHS Employees | Lutheran Preferred CHS Employees | $148 |
| Cigna | Cigna ALL | $172 |
| Self Pay | Self Pay | $222 |
| Physicians Health Plan | PHP Options | $236 |
| PHP Freedom | PHP Freedom Network | $255 |
| Sagamore Health Network | Sagamore Indiana Financial | $273 |
| Sagamore Health Network | Sagamore Anthem Groups | $304 |
| Aetna | Aetna PPO | $313 |
| Sagamore Health Network | Sagamore Select Plus | $365 |
| Lutheran Preferred | Lutheran Preferred Choice | $370 |
| Southeastem Indiana Health Operations | SIHO Outside Counties | $432 |
| Prime Health | PRIME HEALTH SERVICES | $463 |
| Prime Health | Prime Health Services Auto | $463 |
| Southeastem Indiana Health Operations | SIHO Inside Counties | $463 |
| Encore Health | Encore Health PPO | $494 |
| Multiplan/PHCS | Multiplan Complementary | $518 |
| Multiplan/PHCS | PHCS Savility Primary Network | $518 |
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