Comprehensive metabolic panel at St. Charles Madras. CPT 80053.
What St. Charles Madras publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$26.66cash price (self-pay)
$42.38list price
$8.00–$46.62range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| OREGON MEDICAID [500] | Oregon Medicaid | $8.45 |
| MODA MEDICAID [528] | Eastern Oregon CCO | $8.45 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Central Oregon | $8.76 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Gorge & Lane C | $9.13 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacifcSource Healthier Orego | $9.72 |
| INDIAN HEALTH [704] | Medicare | $10.17 |
| HEALTH NET MED ADV [135] | Medicare | $10.17 |
| UHC MEDICARE ADVANTAGE [127] | Medicare | $10.17 |
| KAISER PERMANENTE MED ADV [136] | Medicare | $10.17 |
| Law Enforcement [701] | Schs Smh Hb Law Enforcement | $10.17 |
| PACIFICSOURCE MEDICARE ADVANTAGE [126] | PacificSource Medicare | $10.72 |
| PROVIDENCE MEDICARE ADV [137] | Providence Medicare | $11.80 |
| OTJ DEPT OF LABOR FEDERAL EMP [652] | US Dept of Labor | $13.20 |
| OTJ US DEPARTMENT OF LABOR [669] | US Dept of Labor | $13.20 |
| HEALTH SHARE KAISER [543] | Oregon Medicaid CCO | $17.38 |
| PRIMARY HEALTH OF JOSPEHINE COUNTY LLC [547] | Oregon Medicaid CCO | $17.38 |
| HEALTH SHARE PROVIDENCE [548] | Oregon Medicaid CCO | $17.38 |
| COLUMBIA PACIFIC COORDINATED CARE LLC [539] | Oregon Medicaid CCO | $17.38 |
| HEALTH SHARE OHSU OHP [552] | Oregon Medicaid CCO | $17.38 |
| WILLAMETTE VALLEY COMMUNITY HEALTH [536] | Oregon Medicaid CCO | $17.38 |
| YAMHILL COUNTY COORDINATED CARE ORG [550] | Oregon Medicaid CCO | $17.38 |
| JACKSON CARE CONNECT [542] | Oregon Medicaid CCO | $17.38 |
| ADVANCED HEALTH [534] | Oregon Medicaid CCO | $17.38 |
| PACIFICSOURCE [345] | PacificSource Navigator Group | $23.18 |
| PACIFICSOURCE [345] | PacificSource Navigator Individual | $23.18 |
| MERITAIN HEALTH [300] | Aetna | $36.87 |
| UNITEDHEALTHONE [401] | United Healthcare | $39.16 |
| UNITED HEALTHCARE [338] | United Healthcare | $39.16 |
| PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY [395] | First Health | $41.53 |
| PLANNED ADMINISTRATORS INC [375] | First Health | $41.53 |
Inpatient
$150cash price (self-pay)
$188list price
—range insurers pay
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