Comprehensive metabolic panel at Saint Alphonsus Medical Center-Ontario. CPT 80053.
What Saint Alphonsus Medical Center-Ontario publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$44.85cash price (self-pay)
$69.00list price
$7.39–$66.93range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - In (Anthem) | Regence Bs | $18.48 |
| Blue Cross - Mi | Regence Bs | $18.48 |
| Blue Cross - IL Alternate | Regence Bs | $18.48 |
| Blue Cross - Mn | Regence Bs | $18.48 |
| Medstar Dc Healthy Family | Medicaid | $20.70 |
| Amish Mennonite | Medicaid | $20.70 |
| Delaware First Health | Medicaid | $20.70 |
| Medicaid - Nj | Medicaid | $20.70 |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | Medicaid | $20.70 |
| Highmark Wholecare Medicaid | Medicaid | $20.70 |
| Dscc | Medicaid | $20.70 |
| Community Health Choice | Medicaid | $20.70 |
| Sandhills Center Lme | Medicaid | $20.70 |
| Vaya Health Lme | Medicaid | $20.70 |
| Partners Behavioral Lme | Medicaid | $20.70 |
| Medstar Md Health Choice | Medicaid | $20.70 |
| Healthfirst Medicaid Advantage | Medicaid | $20.70 |
| Presbyterian Centennial Care | Medicaid | $20.70 |
| Priority Partners | Medicaid | $20.70 |
| Firstcare Medicaid | Medicaid | $20.70 |
| Texas Children'S Health Plan | Medicaid | $20.70 |
| Tufts Health Public Plans | Medicaid | $20.70 |
| Freedom First Healthcare | Medicaid | $20.70 |
| Wellsense Health Plan | Medicaid | $20.70 |
| Maryland Physicians Care | Medicaid | $20.70 |
| Jai Medical System | Medicaid | $20.70 |
| Intercommunity Health Ohp | Medicaid | $20.70 |
| Delta Dental Nj | Medicaid | $20.70 |
| Ada County Jail Inmate Ins | Medicaid County | $20.70 |
| Chhuny | Medicaid | $20.70 |
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All common services at Saint Alphonsus Medical Center-Ontario