Comprehensive metabolic panel at Good Samaritan University Hospital. CPT 80053.
What Good Samaritan University Hospital publishes for this service, straight from its standard-charges file, last updated February 19, 2026.
Outpatient / ER
—cash price (self-pay)
$584list price
$10.10–$584range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Affinity Health Plan | CHP | $10.10 |
| Affinity Health Plan | HARP | $10.10 |
| Affinity Health Plan | MEDICAID | $10.10 |
| Centerlight Healthcare | MEDICAID | $10.10 |
| BCBS-NY Empire | MA | $10.35 |
| Aetna | Medicare | $10.56 |
| Centerlight Healthcare | PACE | $10.56 |
| Centers Plan For Healthy Living | Medicare | $10.56 |
| Agewell New York | Medicare HMO | $10.93 |
| Aetna | Narrow Network | $11.29 |
| Aetna | Commercial | $13.42 |
| Centivo | Commercial | $15.84 |
| Affinity Health Plan | EP 1&2 | $22.73 |
| Affinity Health Plan | EP 3&4 | $22.73 |
| American Plan Administrators | Commercial | $23.76 |
| Amerihealth Administrators | Commercial | $23.76 |
| Benefit Services | Commercial | $23.76 |
| APWU | Commercial | $26.37 |
| Centivo | PPO Cigna Medical | $26.37 |
| Cigna | Commercial | $26.37 |
| Daniel H Cook | Associates | $26.37 |
| Brighton | Create IDN | $27.09 |
| Brighton | Create Flex | $27.87 |
| BCBS-NY Empire | Blue Access Small Group | $29.60 |
| BCBS-NY Empire | Blue Access Large Group | $35.08 |
| BCBS-NY Empire | Commercial | $38.99 |
| Allied Wellfare Fund | Commercial | $380 |
| American Group Administrators | Commercial | $380 |
| Bakery & Confectionery Union | Commercial | $380 |
| Brighton | Direct Plus | $380 |
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