Comprehensive metabolic panel at Gouverneur Hospital. CPT 80053.
What Gouverneur Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$255cash price (self-pay)
$392list price
$10.10–$137range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Fidelis Care New York | Medicaid | $10.10 |
| Champus-Tricare | Commercial | $10.24 |
| Excellus | Commercial | $10.56 |
| Mvp - Cigna | Commercial | $137 |
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