Comprehensive metabolic panel at Portsmouth Amublance. CPT 80053.
What Portsmouth Amublance publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$218cash price (self-pay)
$518list price
$9.40–$777range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | MCD | $9.40 |
| Aetna | MCR | $10.56 |
| Anthem | MCR | $10.77 |
| Anthem Maine | MCR | $10.77 |
| Anthem | BlueChoice | $18.21 |
| Anthem Maine | BlueChoice | $18.21 |
| Centene Granite State Health | HIX | $18.83 |
| Anthem | HMO | $20.23 |
| Anthem | POS | $20.23 |
| Anthem Maine | HMO | $20.23 |
| Anthem Maine | POS | $20.23 |
| Anthem | PPO | $42.36 |
| Anthem Maine | PPO | $42.36 |
| Anthem | FEP | $42.56 |
| Anthem Maine | FEP | $42.56 |
| Cigna | HMO | $55.55 |
| United | FreedomBenefitPlans | $133 |
| Maine Community Health | Individual | $162 |
| Maine Community Health | SmallGroup | $162 |
| Tufts Health Plan | HMO | $195 |
| Tufts Health Plan | PPO | $195 |
| Harvard Pilgrim | PPO | $222 |
| Anthem | INDEMNITY | $229 |
| Anthem Maine | INDEMNITY | $229 |
| United | AllPayerAppendix | $237 |
| Maine Community Health | LargeGroup | $274 |
| Tufts Health Plan | POS | $296 |
| Aetna | EPO | $328 |
| Aetna | HMO | $328 |
| Aetna | POS | $328 |
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