Comprehensive metabolic panel at Legacy Good Samaritan Medical Center IP Rehab. CPT 80053.
What Legacy Good Samaritan Medical Center IP Rehab publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$7.25cash price (self-pay)
$22.29list price
$10.56–$40.84range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $10.56 |
| Atrio | Medicare Managed Care Plan | $10.88 |
| Aetna | Medicare Managed Care Plan | $11.09 |
| HealthNet | Medicare Managed Care Plan | $11.19 |
| CareOregon | Medicare Managed Care Plan | $11.40 |
| Ageright | Medicare Managed Care Plan | $11.62 |
| Moda | Medicare Managed Care Plan | $11.83 |
| Aetna | All Commercial Plans | $19.75 |
| PacificSource | Navigator All Commercial Plans | $20.62 |
| Moda | OEBB/PEBB Other Commercial Plan | $21.12 |
| PacificSource | Voyager All Commercial Plans | $24.12 |
| HealthNet | All Commercial Plans | $27.56 |
| Cigna | All Commercial Plans | $37.94 |
| Cigna | LocalPlus All Commercial Plans | $37.94 |
| Moda | All Commercial Plans | $40.84 |
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All common services at Legacy Good Samaritan Medical Center IP Rehab