Comprehensive metabolic panel at Henry Ford Jackson Hospital. CPT 80053.
What Henry Ford Jackson Hospital publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
—cash price (self-pay)
$123list price
$5.52–$111range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Cross Complete | $5.52 |
| HAP | HAP Caresource Medicaid | $5.52 |
| McLaren | Medicaid HMO | $5.52 |
| Meridian | Medicaid HMO | $5.52 |
| Priority Health | Medicaid HMO | $5.52 |
| Aetna Better Health | Medicaid HMO | $5.80 |
| Molina | Medicaid HMO | $5.96 |
| Humana Military | Tricare | $8.90 |
| Aetna | Medicare Advantage | $10.56 |
| Blue Cross | Medicare Plus Blue | $10.56 |
| Blue Cross | BCN Advantage | $10.56 |
| Cascade Thome Pace | All Products | $10.56 |
| Humana | Medicare Advantage | $10.56 |
| McLaren | Medicare Advantage | $10.56 |
| Molina | Dual MI Coordinated Health | $10.56 |
| Priority Health | Dual Premier_HIDE-SNP | $10.56 |
| Priority Health | Medicare Advantage | $10.56 |
| United Healthcare | VACCN | $10.56 |
| Veterans Evaluation Services | All Products | $10.56 |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $10.56 |
| HAP | Medicare Advantage | $10.67 |
| HAP | HAP Dual Products | $10.67 |
| Meridian | Ambetter From Meridian | $11.62 |
| HAP | Henry Ford Select -HPN commercial | $12.67 |
| HAP | Commercial | $13.87 |
| Aetna | Commercial | $18.43 |
| Nomi | All Products | $20.59 |
| Bcn | HMO | $28.05 |
| Blue Cross | BCN Commercial | $28.05 |
| Blue Cross | BCBSM Commercial | $28.05 |
Inpatient
—cash price (self-pay)
$123list price
$61.50–$111range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | UHC Commercial | $90.65 |
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