Comprehensive metabolic panel at Pennsylvania Hospital. CPT 80053.
What Pennsylvania Hospital publishes for this service, straight from its standard-charges file, last updated March 20, 2026.
Outpatient / ER
$596cash price (self-pay)
$596list price
$6.34–$596range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Philadelphia VA Medical Center | VA Medical Center | $10.56 |
| UPMC | UPMC Medicare | $10.56 |
| Medicare | Medicare | $10.56 |
| Managed Medicare Other | Managed Medicare Other | $10.56 |
| PENN LIFE (Living Independently For Elders) | PENN LIFE | $11.09 |
| PA Health and Wellness | PA Health and Wellness Medicare | $11.09 |
| United Healthcare | United Healthcare Medicare Advantage | $11.19 |
| US Family Health Plan | US Family Health Plan | $11.51 |
| TriCare | TriCare | $11.51 |
| PA Medical Assistance | Medicaid | $11.69 |
| Managed Medicaid Other | Managed Medicaid Other | $11.69 |
| PA Health and Wellness Medicaid | PA Health and Wellness Medicaid | $13.44 |
| Keystone Mercy Health Plan | Keystone Mercy Health Plan | $14.96 |
| PA Health and Wellness | PA Health and Wellness Commercial | $17.42 |
| Oscar Health Plan | Oscar Health Plan | $17.95 |
| UPMC | UPMC Medicaid | $19.87 |
| UnitedHealthcare Community (fka AmeriChoice MA) | UnitedHealthcare Com | $23.03 |
| Independence Blue Cross/Personal Choice | Personal Choice-IBC PPO | $31.69 |
| Optum/URN | Optum URN-Transplant Commercial | $52.80 |
| UnitedHealthcare Non Options | UnitedHealthcare Non Options | $73.90 |
| UnitedHealthcare New Business | UnitedHealthcare New Business | $105 |
| UnitedHealthcare | UnitedHealthcare Compass Exchange | $122 |
| PGM - Regie de l'assurance Maladie Quebec | PGM - Regie de lassurance | $137 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $155 |
| PGM - Kuwait Defense | PGM - Kuwait Defense | $209 |
| Qualcare | Qualcare | $226 |
| Wissahickon Hospice | Wissahickon Hospice | $238 |
| Pgm - Chop | Pgm - Chop | $238 |
| Olympus | Olympus | $290 |
| URN-Cancer Resource Services | URN-Cancer Resource Services | $298 |
Inpatient
$596cash price (self-pay)
$596list price
$101–$596range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Horizon NJ Health | Horizon NJ Health | $101 |
| PGM - Regie de l'assurance Maladie Quebec | PGM - Regie de lassurance | $137 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $155 |
| Devon | Devon Premier | $226 |
| Pgm - Chop | Pgm - Chop | $238 |
| Coventry | HealthAmerica/Coventry SEPA | $238 |
| PGM - Kuwait Defense | PGM - Kuwait Defense | $268 |
| HealthAmerica/Coventry | HealthAmerica/HealthAssurance | $292 |
| URN-Cancer Resource Services | URN-Cancer Resource Services | $298 |
| First Health Global | First Health Global | $298 |
| Coventry | Coventry of Delaware | $304 |
| PGM - Royal Embassy of Saudi Arabia | PGM - Royal Embassy of Saudi Ara | $358 |
| Health Net | Health Net | $358 |
| PGM - Ontario Ministry of Health and Long-Term Care (OHIP) | PGM - Ont | $387 |
| Preferred Care | Preferred Care | $477 |
| PGM - Kuwait Oil | PGM - Kuwait Oil | $477 |
| PGM - Kuwait Health Division | PGM - Kuwait Health Division | $477 |
| Intergroup | Intergroup | $477 |
| Humana Choice Care | Humana Choice Care | $477 |
| Health America/CCN | First Health/ Coventry National | $477 |
| Devon Health Services Inc | Devon Health Services | $477 |
| UPMC | UPMC Medicaid | $596 |
| UnitedHealthcare Non Options | UnitedHealthcare Non Options | $596 |
| United Behavioral Health | United Behavioral Health | $596 |
| Quest Behavioral Health | Quest Behavioral Health | $596 |
| Managed Medicaid Other | Managed Medicaid Other | $596 |
| International PFS | International PFS | $596 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-PPO | $596 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-Indemnity | $596 |
| Health Partners | Health Partners Medicaid | $596 |
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