Comprehensive metabolic panel at HSS Southampton Outpatient Center. CPT 80053.
What HSS Southampton Outpatient Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$270cash price (self-pay)
$379list price
$13.64–$262range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare [1107] | Unitedhealthcare Essential Group 1 [110713] | $13.64 |
| Fidelis Essential [1323] | Fidelis Essential [132300] | $22.73 |
| Oxford [1096] | Oxford Freedom [109601] | $105 |
| Oxford [1096] | Oxford [109600] | $105 |
| Oxford [1096] | Oxford HMO [109605] | $105 |
| Oxford [1096] | Oxford Healthy Start [109603] | $105 |
| Oxford [1096] | Oxford Freedom Plan Select [109602] | $105 |
| Affinity By Molina Health Plan [1005] | Affinity Essential Exchange [1 | $122 |
| United Healthcare [1107] | United Healthcare Surest - Choice Plus [110 | $128 |
| United Healthcare [1107] | All Savers [110715] | $128 |
| Geha [1053] | Geha - Unitedhealthcare [105301] | $128 |
| Student Resources [1103] | Student Resources [110300] | $128 |
| United Healthcare [1107] | United Healthcare Select Plus [110710] | $128 |
| United Healthcare [1107] | United Healthcare Choice [110705] | $128 |
| Cigna [1035] | Cigna International [103507] | $144 |
| Cigna [1035] | Cigna PPO [103504] | $144 |
| Qualcare [1101] | Qualcare [110100] | $144 |
| Daniel H Cook - Cigna [1339] | Daniel H Cook - Cigna [133900] | $144 |
| Cigna [1035] | Cigna HMO [103503] | $144 |
| Apwu [1016] | Apwu [101600] | $144 |
| United Healthcare [1107] | United Healthcare Indemnity [110708] | $155 |
| Harvard Pilgrim [1057] | Harvard Pilgrim NY [105701] | $155 |
| United Healthcare [1107] | United Healthcare Empire [110712] | $155 |
| Blue Cross Blue Shield NY [1022] | BCBS POS [102206] | $163 |
| Blue Cross Blue Shield NY [1022] | BCBS PPO [102205] | $163 |
| Allied Benefit System - Aetna Network [1011] | Allied Benefit System - | $190 |
| Meritain Health [1085] | Meritain Health [108500] | $190 |
| Webtpa [1356] | Webtpa - Aetna [135601] | $190 |
| Aetna [1003] | Aetna POS [100308] | $190 |
| Trustmark - Aetna [1342] | Trustmark - Aetna [134200] | $190 |
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