Comprehensive metabolic panel at St. Mary's General Hospital. CPT 80053.
What St. Mary's General Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$10.00cash price (self-pay)
$185list price
$6.34–$157range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | UHC All Payer (02-01-2023 to 12-31-2026) | $6.34 |
| UHC | UHC Oxford (02-01-2023 to 12-31-2026) | $6.34 |
| Humana | Humana Military Tricare | $8.45 |
| UHC | UHC Medicaid (02/01/2023 to 12-31-2026) | $8.45 |
| Aetna | Aetna Medicare | $10.56 |
| Americhoice (UHC) | UHC Medicare | $10.56 |
| Amerihealth | Amerihealth Medicare | $10.56 |
| Clover Health | Clover Medicare | $10.56 |
| Horizon | Horizon Medicare | $10.56 |
| Traditional Medicare | Traditional Medicare | $10.56 |
| Tricare | Tricare | $10.56 |
| UHC - Adhoc | UHC - Adhoc All Payer | $10.56 |
| UHC - Adhoc | UHC - Adhoc Oxford | $10.56 |
| Wellcare | Wellcare Medicare | $10.56 |
| Wellpoint Amerigroup | Wellpoint Amerigroup Medicare | $10.56 |
| Ally-Align (Fka Spartan Plan Nj, Inc.) | Ally-Align (Fka Spartan Plan | $11.09 |
| Fairprice Healthcare Holdings | Fairprice Healthcare Holdings | $12.67 |
| Wellcare | Wellcare Insurance Exchange | $14.26 |
| Employer Direct Healthcare | Employer Direct Healthcare | $14.78 |
| Cigna | Cigna Commercial | $15.31 |
| Coventry | Coventry Auto | $21.12 |
| Coventry | Coventry Workers Compensation | $21.12 |
| Aetna | Aetna Commercial | $22.39 |
| Aetna | Aetna Medical Rental Network | $22.39 |
| Horizon | Horizon BCBS Of NJ HMO POS | $131 |
| Horizon | Horizon BCBS Of NJ Indemnity | $131 |
| Horizon | Horizon BCBS Of NJ PPO | $131 |
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