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Comprehensive metabolic panel at HSS West Side Outpatient Center. CPT 80053.

What HSS West Side 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 planNegotiated rate
United Healthcare [1107] | Unitedhealthcare Essential Group 1 [110713]$13.64
Fidelis Essential [1323] | Fidelis Essential [132300]$22.73
Blue Cross Blue Shield NY [1022] | BCBS Individual Network [102218]$27.27
United Healthcare [1107] | United Healthcare Exchange [110711]$81.00
Blue Cross Blue Shield NY [1022] | BCBS Connection [102217]$98.67
Oxford [1096] | Oxford HMO [109605]$105
Oxford [1096] | Oxford Healthy Start [109603]$105
Student Resources [1103] | Student Resources [110300]$128
United Healthcare [1107] | United Healthcare POS [110706]$128
United Healthcare [1107] | United Healthcare Select Plus [110710]$128
Cigna [1035] | Cigna PPO [103504]$129
Cigna [1035] | Cigna HMO [103503]$129
Wellfleet [1361] | Wellfleet - Cigna [136100]$129
Luminare - Cigna [1362] | Luminare - Cigna [136200]$129
Qualcare [1101] | Qualcare [110100]$129
Allied Benefit System - Cigna Network [1337] | Allied Benefit System -$144
United Healthcare [1107] | United Healthcare International [110700]$155
Umr [1106] | Umr PPO [110600]$155
United Healthcare [1107] | United Healthcare Surest - Options PPO [110$155
United Healthcare [1107] | United Healthcare Empire [110712]$155
Aetna [1003] | Aetna POS [100308]$190
Blue Cross Blue Shield NY [1022] | BCBS PPO [102205]$190
Webtpa [1356] | Webtpa - Aetna [135601]$190
Blue Cross Blue Shield NY [1022] | BCBS HMO [102207]$190
Aetna [1003] | Aetna International [100301]$190
Aetna [1003] | Aetna Geha-Asa [100311]$190
Blue Cross Blue Shield NY [1022] | BCBS POS [102206]$190
Aetna [1003] | Aetna Managed Choice [100307]$190
Blue Cross Blue Shield NY [1022] | BCBS NYC Healthline [102208]$190
Aetna [1003] | Aetna HMO [100306]$190
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All common services at HSS West Side Outpatient Center