Comprehensive metabolic panel at Tj Health Samson Community Hospital. CPT 80053.
What Tj Health Samson Community Hospital publishes for this service, straight from its standard-charges file, last updated April 23, 2026.
Outpatient / ER
$120cash price (self-pay)
$185list price
$7.15–$191range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross HMO | Blue Cross HMO | $7.15 |
| Blue Cross Path HMO | Blue Cross Path HMO | $7.15 |
| Blue Cross Path Hpn/PPO | Blue Cross Path Hpn/PPO | $7.15 |
| Blue Cross PPO | Blue Cross PPO | $7.15 |
| Blue Cross Trad - All Other Plans | Blue Cross Trad - All Other Plans | $7.15 |
| Wellcare Mcaid | Wellcare Mcaid | $10.35 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $10.56 |
| Humana Mcr Adv - All Other Plans | Humana Mcr Adv - All Other Plans | $10.56 |
| Wellcare Mcr Adv - All Other Plans | Wellcare Mcr Adv - All Other Plan | $10.56 |
| Signature Health - All Plans | Signature Health - All Plans | $10.67 |
| Molina Mcr Adv | Molina Mcr Adv | $10.77 |
| Devoted Mcr Adv - All Plans | Devoted Mcr Adv - All Plans | $11.09 |
| Molina Marketplace - All Other Plans | Molina Marketplace - All Other | $15.84 |
| Caresource - All Plans | Caresource - All Plans | $19.54 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $92.50 |
| Center Care Select - All Plans | Center Care Select - All Plans | $157 |
| Blue Cross Mcr Select | Blue Cross Mcr Select | $157 |
| Phcs/Multiplan - All Plans | Phcs/Multiplan - All Plans | $174 |
| First Health - All Plans | First Health - All Plans | $176 |
| Aetna Better Health Mcaid - All Plans | Aetna Better Health Mcaid - Al | $185 |
| Humana Mcaid | Humana Mcaid | $185 |
| Molina Mcaid | Molina Mcaid | $191 |
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