Comprehensive metabolic panel at Ira Davenport Memorial Hospital. CPT 80053.
What Ira Davenport Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 27, 2026.
Outpatient / ER
$73.84cash price (self-pay)
$380list price
$4.75–$380range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Empire | All Products Non MD | $4.75 |
| Empire | All Products MD | $4.75 |
| Excellus BCBS | All Products | $10.56 |
| Excellus BCBS | Medicare Advantage | $11.09 |
| FIDELIS | Health Benefit Exchange | $11.09 |
| Aetna | All Products | $323 |
| EMBLEM/GHI | All Products | $334 |
| UHC | All Products | $380 |
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