Comprehensive metabolic panel at St. Charles Prineville. CPT 80053.
What St. Charles Prineville 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
$8.45–$46.62range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TRICARE [705] | Tricare | $9.29 |
| REGENCE GROUP ADMINISTRATORS [203] | Blue Cross PPO | $10.56 |
| ATRIO HEALTH MEDICARE [138] | Medicare | $10.56 |
| VETERANS [706] | Veteran Affairs | $10.56 |
| AGERIGHT ADVANTAGE [142] | Medicare | $10.56 |
| AETNA MEDICARE [131] | Medicare | $10.56 |
| HEALTH NET MED ADV [135] | Medicare | $10.56 |
| UHC MEDICARE ADVANTAGE [127] | Medicare | $10.56 |
| HEALTH MARKET CARE ASSURED [134] | Medicare | $10.56 |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | Medicare | $10.56 |
| MEDICARE AB REBILL ALT PAYER [175] | Medicare | $10.56 |
| INDIAN HEALTH [704] | Medicare | $10.56 |
| ALLCARE HEALTH PLAN [538] | Oregon Medicaid CCO | $14.83 |
| HEALTH SHARE KAISER [543] | Oregon Medicaid CCO | $14.83 |
| WILLAMETTE VALLEY COMMUNITY HEALTH [536] | Oregon Medicaid CCO | $14.83 |
| HEALTH SHARE CARE OREGON [526] | Oregon Medicaid CCO | $14.83 |
| TRILLIUM MEDICAID [535] | Oregon Medicaid CCO | $14.83 |
| YAMHILL COUNTY COORDINATED CARE ORG [550] | Oregon Medicaid CCO | $14.83 |
| LAW ENFORCEMENT [701] | SCHS HB Oregon Department of Corrections | $21.02 |
| CIGNA [337] | Cigna | $26.70 |
| FIRST CHOICE HEALTH [317] | First Choice Health Network | $36.70 |
| SAMARITAN [376] | First Choice Health Network | $36.70 |
| KAISER PERMANENTE [334] | First Choice Health Network | $36.70 |
| UNITEDHEALTHONE [401] | United Healthcare | $39.16 |
| UNITED HEALTHCARE [338] | United Healthcare | $39.16 |
| PLANNED ADMINISTRATORS INC [375] | First Health | $41.53 |
| MANHATTAN LIFE INSURANCE COMPANY [379] | First Health | $41.53 |
| OTJ TRISTAR [673] | Oregon Workers Compensation | $42.38 |
| AUTO NATIONWIDE ALLIED INSURANC [601] | Auto Insurance | $42.38 |
| AUTO OREGON MUTUAL [614] | Auto Insurance | $42.38 |
Inpatient
$150cash price (self-pay)
$188list price
—range insurers pay
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