Comprehensive metabolic panel at Medicine Lodge Memorial Hospital. CPT 80053.
What Medicine Lodge Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$61.54cash price (self-pay)
$61.54list price
$21.55–$61.54range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Blue Choice | BCBS Blue Choice | $21.55 |
| BCBS Cap - All Other Plans | BCBS Cap - All Other Plans | $22.68 |
| Tricare West-All Plans | Tricare West-All Plans | $44.41 |
| Aetna Mcr Adv | Aetna Mcr Adv | $50.46 |
| Humana Mcr Adv-All Plans | Humana Mcr Adv-All Plans | $50.46 |
| Aetna Comm-All Other Plans | Aetna Comm-All Other Plans | $56.92 |
| Aetna/First Health Network | Aetna/First Health Network | $58.46 |
| Hpk-All Plans | Hpk-All Plans | $58.46 |
| UHC-All Plans | UHC-All Plans | $58.46 |
| Aetna Better Health Mcaid Chip | Aetna Better Health Mcaid Chip | $61.54 |
| Sunflower Mcaid-All Plans | Sunflower Mcaid-All Plans | $61.54 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.