Comprehensive metabolic panel at Kenmore Mercy Hospital. CPT 80053.
What Kenmore Mercy Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$10.00cash price (self-pay)
$26.00list price
$7.92–$26.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Independent Health Essential [100166] | Independent Health Essential 2 | $7.92 |
| Independent Health [100165] | Choice Plus [10016505] | $8.98 |
| Hospice [550001] | Erie [55000101] | $10.00 |
| Hospice [550001] | Niagara [55000102] | $10.00 |
| Univera Healthcare Essential [100170] | Univera Essential Plan 3 And 4 | $10.10 |
| Amerigroup [350102] | Chp BCBS Amg Non Mcd [35010202] | $10.10 |
| Amerigroup Medicaid [350002] | Amerigroup Medicaid [35000201] | $10.10 |
| Beacon Medicaid Replacement Alt [350124] | Beacon Essential 3 And 4 Al | $10.10 |
| Fidelis Medicaid [350105] | Fidelis Mltc [35010504] | $10.10 |
| Medicaid In State [300001] | Medicaid In State [30000101] | $10.10 |
| Fidelis Medicaid [350105] | Child Health Plus Fidelis Non Medicaid [35 | $10.10 |
| Medicaid Out Of State [309999] | Medicaid Virginia [30999913] | $10.10 |
| Cigna Medicare HMO [450113] | Cigna Medicare HMO [45011301] | $10.56 |
| Medicare [400001] | Medicare Part A And B [40000101] | $10.56 |
| United Healthcare Surest [101154] | United Healthcare Surest [10115401 | $10.56 |
| Covid19 Hrsa [45013] | Covid19 Hrsa [4501301] | $10.56 |
| Univera Healthcare [100169] | Univera Healthy NY [10016909] | $10.91 |
| Fidelis Dual Advantage [450120] | Fidelis Dual Adv Flex [45012002] | $10.93 |
| Fidelis Medicare [450121] | Fidelis Medicare Advantage [45012101] | $10.93 |
| BCBS Medicare [450116] | Federal Bc Over 65 [45011602] | $11.98 |
| BCBS Medicare [450116] | Senior Blue [45011606] | $11.98 |
| Univera Healthcare Essential [100170] | Univera Essential Plan 1 And 2 | $12.12 |
| Federal Workers Compensation [500100] | Division Of Coal Mine Workers | $13.20 |
| Commercial - Other [100172] | Upstate Administrative [10017206] | $14.82 |
| Humana [100052] | Humana PPO [10005202] | $14.82 |
| Boilermakers Natl. Health [100159] | Boilermakers Natl. Health [100159 | $14.82 |
| Commercial - Other [100172] | Board Of Pensions [10017201] | $14.82 |
| Commercial - Other [100172] | Optum Behavioral Health [10017210] | $14.82 |
| Commercial - Other [100172] | Sunshine State Health Pln [10017207] | $14.82 |
| BCBS Community Blue [100173] | HMO Align Select [10017311] | $14.96 |
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