Comprehensive metabolic panel at lodi hospital. CPT 80053.
What lodi hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$47.45cash price (self-pay)
$73.00list price
$6.25–$73.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Hpn | $6.25 |
| Anthem | PPO/HMO | $7.35 |
| Anthem | Medicare Advantage | $10.56 |
| OPTUM | Medicare Advantage Transplant | $10.56 |
| Oscar | All Products | $20.64 |
| HUMANA | Medicare Advantage HMO | $21.90 |
| MMO | Medicare Advantage HMO & PPO | $21.90 |
| Aetna | Medicare Advantage | $23.36 |
| Php | All Products | $23.36 |
| Phphi | All Products | $23.36 |
| Summacare | MEDICARE ADVANTAGE | $23.36 |
| OPTUM | Managed Medicaid Transplant | $26.19 |
| Buckeye | Managed Medicaid | $27.57 |
| CARESOURCE | Managed Medicaid | $27.57 |
| ANTHEM | Managed Medicaid | $28.95 |
| MOLINA | Managed Medicaid | $28.95 |
| AMERIHEALTH | Managed Medicaid | $30.33 |
| Amish Community Aid Plan | ALL PRODUCTS | $32.85 |
| Aultcare | PPO/HMO | $35.11 |
| Ohcp | All Products | $35.48 |
| Omas | All Products | $36.50 |
| Mmo | Traditional | $38.03 |
| Ohio Healthy | TRANSPLANT | $39.42 |
| OPTUM | All Products Transplant | $41.32 |
| AETNA | Acop | $41.46 |
| Summacare | Preferred | $42.05 |
| Summacare | PREMIER | $45.70 |
| Cigna | All Products | $46.36 |
| Anthem | Traditional | $48.36 |
| Cc Ehp | All Products | $49.06 |
Inpatient
$47.45cash price (self-pay)
$73.00list price
$20.64–$73.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $26.35 |
| Amish Community Aid Plan | ALL PRODUCTS | $36.50 |
| Anthem | Hpn | $39.86 |
| Anthem | PPO/HMO | $46.90 |
| Anthem | Traditional | $49.32 |
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