Comprehensive metabolic panel at Fairview Hospital. CPT 80053.
What Fairview Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$96.90cash price (self-pay)
$102list price
$9.31–$96.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare | MCR Traditional Medicare | $24.66 |
| Medicare | MCRManaged Medicare HMO | $24.66 |
| Fallon | MCRManaged Fallon Medicare Advantage | $24.92 |
| Fallon | MCRManaged Fallon Medicare SCO | $25.02 |
| Hospice | Comm Hospice | $25.17 |
| Other Government | MCR Miscellaneous | $25.17 |
| Other Government | MCRManaged USA Family | $25.17 |
| Other Government | MCRManaged VA | $25.17 |
| United Healthcare | Oth United VACCN | $25.17 |
| Health New England | MCRManaged HNE Medicare Advantage | $25.41 |
| Blue Cross | MCRManaged Blue Cross VT Medicare HMO | $25.44 |
| Other Government | Tri Tricare | $25.54 |
| CommCare Alliance | MCRManaged CCA One Care | $25.70 |
| Point32Health | MCDManaged Tufts (Network) | $33.94 |
| Comm Fallon QHP | Comm Fallon QHP | $39.35 |
| Fallon | MCDManaged Fallon Medicaid ACO | $42.33 |
| Aetna | Comm Aetna | $43.54 |
| Unicare | Comm Wellpoint (Unicare) | $46.77 |
| Point32Health | Comm Tufts QHPSUB (Network) | $59.67 |
| Allways NHP | Comm NHP | $65.99 |
| United Healthcare | Comm United BH | $66.30 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $69.31 |
| Health New England | Comm HNE | $69.94 |
| Comm HNE HMO | Comm HNE HMO | $71.85 |
| Comm HNE PPO | Comm HNE PPO | $73.96 |
| Blue Cross | Comm Blue Cross VT PPO | $80.07 |
| Point32Health | Comm Tufts | $80.78 |
| United Healthcare | Comm UnitedHealthcare | $87.72 |
| Capital District Physicians' Health Plan | Comm CDPHP | $91.80 |
| Cigna | Comm Cigna Carelink | $91.80 |
Inpatient
$96.90cash price (self-pay)
$102list price
$57.63–$96.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point32Health | Comm Tufts QHPSUB (Network) | $57.63 |
| Point32Health | MCDManaged Tufts (Network) | $57.63 |
| Workers Comp | WC Workers Comp | $65.02 |
| Allways NHP | Comm NHP | $65.99 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $66.10 |
| United Healthcare | Comm United BH | $66.30 |
| Blue Cross | Comm Blue Cross VT PPO | $73.44 |
| Aetna | Comm Aetna | $77.01 |
| Point32Health | Comm Tufts | $80.78 |
| United Healthcare | Comm UnitedHealthcare | $87.72 |
| Capital District Physicians' Health Plan | Comm CDPHP | $91.80 |
| MVP | Comm MVP | $91.80 |
| Oxford | Comm Oxford | $91.80 |
| Connecticare | Comm Connecticare | $96.90 |
| Consolidated Health Plans | Comm Consolidated Health | $96.90 |
| First Health | Comm First Health | $96.90 |
| Point32Health | Comm Harvard | $96.90 |
| Other Commercial | Comm Other | $96.90 |
| PHCS | Comm PHCS | $96.90 |
| Self Pay | Comm Self Pay | $96.90 |
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