Comprehensive metabolic panel at HSS Westchester Outpatient Center. CPT 80053.
What HSS Westchester 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 3 And 4 [110714] | $13.64 |
| United Healthcare [1107] | Unitedhealthcare Essential Group 1 [110713] | $13.64 |
| Blue Cross Blue Shield NY [1022] | BCBS Individual Network [102218] | $23.74 |
| United Healthcare [1107] | United Healthcare Compass [110707] | $81.00 |
| United Healthcare [1107] | United Healthcare Exchange [110711] | $81.00 |
| Oxford [1096] | Oxford Freedom [109601] | $105 |
| Oxford [1096] | Oxford POS [109606] | $105 |
| Affinity By Molina Health Plan [1005] | Affinity Essential Exchange [1 | $122 |
| United Healthcare [1107] | United Healthcare Choice Plus [110709] | $128 |
| Umr [1106] | Umr HMO [110601] | $128 |
| United Healthcare [1107] | United Healthcare Select [110703] | $128 |
| Student Resources [1103] | Student Resources [110300] | $128 |
| United Healthcare [1107] | United Healthcare POS [110706] | $128 |
| United Healthcare [1107] | All Savers [110715] | $128 |
| United Healthcare [1107] | United Healthcare EPO [110704] | $128 |
| Cigna [1035] | Cigna Great West [103506] | $130 |
| Apwu [1016] | Apwu [101600] | $130 |
| Cigna [1035] | Local 831 [103508] | $130 |
| Cigna [1035] | Cigna EPO [103502] | $130 |
| Qualcare [1101] | Qualcare [110100] | $130 |
| Allied Benefit System - Cigna Network [1337] | Allied Benefit System - | $144 |
| Cigna [1035] | Cigna International [103507] | $144 |
| United Healthcare [1107] | United Healthcare Empire [110712] | $155 |
| Harvard Pilgrim [1057] | Harvard Pilgrim NY [105701] | $155 |
| Aetna [1003] | Aetna HMO [100306] | $190 |
| Aetna [1003] | Aetna POS [100308] | $190 |
| Luminare - Aetna [1357] | Luminare - Aetna [135701] | $190 |
| Aetna [1003] | Aetna PPO [100309] | $190 |
| Aetna [1003] | Aetna EPO [100305] | $190 |
| Christian Brothers [1034] | Christian Brothers [103400] | $190 |
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