Comprehensive metabolic panel at Health Alliance Mary Avenue Hospital. CPT 80053.
What Health Alliance Mary Avenue Hospital publishes for this service, straight from its standard-charges file, last updated June 24, 2026.
Outpatient / ER
$260cash price (self-pay)
$260list price
$7.39–$260range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare | Aetna Medicare | $10.56 |
| Beacon Medicare | Beacon Medicare | $10.56 |
| Blue Cross Medicare | Blue Cross Medicare | $10.56 |
| Cdphp Medicare | Cdphp Medicare | $10.56 |
| Hamaspik (Mcr) | Hamaspik (Mcr) | $10.56 |
| Medicare | Medicare | $10.56 |
| Medicare Managed 100% Hahv | Medicare Managed 100 Hahv | $10.56 |
| Mvp Gold (Mcr) | Mvp Gold (Mcr) | $10.56 |
| Todays Options Medicare | Todays Options Medicare | $10.56 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $10.77 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $11.09 |
| Todays Options | Todays Options | $11.62 |
| Beacon Exchange | Beacon Exchange | $12.67 |
| Beacon Commercial | Beacon Commercial | $13.73 |
| Value Options Comm (Chcs) | Value Options Comm (Chcs) | $15.52 |
| UHC Commercial | UHC Commercial | $15.84 |
| UHC Empire | UHC Empire | $15.84 |
| UHC Exchange | UHC Exchange | $15.84 |
| VALUE OPTIONS (Non-HMO) | VALUE OPTIONS (Non-HMO) | $15.84 |
| Aetna Hp Network | Aetna Hp Network | $28.62 |
| Aetna | Aetna | $31.79 |
| Magnacare Preferred | Magnacare Preferred | $41.71 |
| Mvp HMO/PPO | Mvp HMO/PPO | $52.89 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $55.28 |
| Blue Cross Access | Blue Cross Access | $58.91 |
| Blue Cross Small Group | Blue Cross Small Group | $66.31 |
| Blue Cross Commercial/Healthy NY | Blue Cross Commercial/Healthy NY | $73.71 |
| Emblem Ghi/Hip PPO/Cbp | Emblem Ghi/Hip PPO/Cbp | $161 |
| Mvp Exchange | Mvp Exchange | $169 |
| Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $177 |
Inpatient
$260cash price (self-pay)
$260list price
$182–$260range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magnacare Standard | Magnacare Standard | $182 |
| Multiplan | Multiplan | $213 |
| Blue Shield - Health Now | Blue Shield - Health Now | $247 |
| Medigap | Medigap | $260 |
| NON CONTRACTED (100% POC) | NON CONTRACTED (100 PerCent POC) | $260 |
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