Comprehensive metabolic panel at Roxborough Memorial Hospital. CPT 80053.
What Roxborough Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$10.00cash price (self-pay)
$341list price
$8.45–$331range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Military Tricare | Humana Military Tricare | $8.45 |
| NJ Medicaid HMO | NJ Medicaid HMO | $8.45 |
| Cigna | Cigna Commercial (05-01-2023 to 12-31-2026) | $10.56 |
| Health Partners Plan | Health Partners Plan Medicare | $10.56 |
| Independence Blue Cross | IBC Medicare | $10.56 |
| PA Health & Wellness | PA Health & Wellness Medicare & Duals | $10.56 |
| Traditional Medicare | Traditional Medicare | $10.56 |
| Tricare | Tricare | $10.56 |
| UHC | UHC Medicare | $10.56 |
| UHC | UHC Va Ccn | $10.56 |
| Providers Partner Health Plan | Provider Partners Health Plan | $10.88 |
| Keystone | Keystone First Medicare | $10.98 |
| Ally-Align Medicare | Ally-Align Medicare | $11.09 |
| Spartan | Spartan Plan | $11.09 |
| Auto Insurance | Auto Insurance | $11.62 |
| Health Partners Plan | Health Partners Plan Medicaid | $11.69 |
| Worker Compensation | Worker Compensation | $11.93 |
| Keystone | Keystone First Medicaid | $12.40 |
| PA Health & Wellness | PA Health & Wellness Commercial Insurance Excha | $12.67 |
| UHC | UHC Commercial All Payer | $12.67 |
| UHC | UHC Exchange | $12.67 |
| UHC | UHC Medicaid | $13.21 |
| Employer Direct Healthcare | Employer Direct Healthcare | $14.78 |
| Health Partners Plan | Health Partners Plan Exchange | $15.84 |
| Naphcare | Naphcare | $16.37 |
| Highmark | Highmark Commercial (02-01-2024 to 12-31-2026) | $21.86 |
| Independence Blue Cross | IBC PPACA | $39.07 |
| Independence Blue Cross | IBC Commercial HMO PPO | $45.65 |
| Independence Blue Cross | IBC Indemnity | $45.65 |
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