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Comprehensive metabolic panel at Roosevelt Medical Center. CPT 80053.

What Roosevelt Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$140cash price (self-pay)
$140list price
$29.04–$140range insurers pay
Insurance planNegotiated rate
PacificSource | PPO$29.04
Three Rivers Provider Network | TRPN workers Comp$126
Mountain Health Co-op | PPO/POS$132
UnitedHeathcare | PPO$132
Blue Cross Blue Sheild | PPO$132
Three Rivers Provider Network | TRPN commercial plans$137
EBMS | SelectCare Network$137
Allegiance | PPO$137
Interwest | PPO$139
First Choice Health Network | Standard/Equitable Plans$139
Blue Cross Blue Shield | Traditional$140
Interwest | Traditional Network$140
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All common services at Roosevelt Medical Center