Comprehensive metabolic panel at Plaistow Emergency Room. CPT 80053.
What Plaistow Emergency Room publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$358cash price (self-pay)
$358list price
$8.45–$340range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| John Hancock | COMM | $8.45 |
| AmeriHealth Caritas | MCD | $9.40 |
| Well Sense Health Plan | MCD | $9.59 |
| Humana | MCR | $10.56 |
| United Behavioral Health | VACCN | $10.56 |
| United VA CCN | FED | $10.56 |
| Humana Military | TRICR | $10.59 |
| Martin's Point Health | TRICR | $10.70 |
| Anthem | MCR | $10.77 |
| Cigna HealthSpring | MGMCR | $10.77 |
| Evernorth Behavioral Health | MCR | $10.77 |
| United | MCR | $10.77 |
| Martin's Point Health | MCR | $10.98 |
| Wellsense | MCR | $10.98 |
| Anthem | BlueChoice | $17.37 |
| Centene Granite State Health | HIX | $18.83 |
| Anthem | HMO | $20.12 |
| Anthem | POS | $20.12 |
| Harvard Pilgrim | PPO | $33.15 |
| Harvard Pilgrim | INDIVIDUAL | $35.90 |
| Harvard Pilgrim | ELEVATE | $39.49 |
| Anthem | FEP | $42.32 |
| Anthem | PPO | $42.93 |
| Harvard Pilgrim | HMO | $44.87 |
| Harvard Pilgrim | POS | $44.87 |
| Maine Community Health | Individual | $112 |
| Maine Community Health | SmallGroup | $112 |
| Anthem | INDEMNITY | $157 |
| Maine Community Health | LargeGroup | $190 |
| Aetna | HMO | $213 |
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