Comprehensive metabolic panel at St. Mary Medical Center. CPT 80053.
What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$168cash price (self-pay)
$259list price
$10.56–$246range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark Wholecare Medicaid | Gateway Health Medicaid | $13.44 |
| Aetna Medicaid | Aetna Better Health Medicaid | $16.95 |
| Upmc Medicaid Advantage | Upmc Health Plan Medicaid | $17.54 |
| Allwell Pa Health & Wellness Medicaid Advantage | Pa Health And Wellne | $17.54 |
| United Healthcare Medicaid | UHC Community Plan Medicaid | $19.20 |
| Keystone First | Keystone Medicaid | $28.06 |
| Keystone First Chc Medicaid | Keystone Medicaid | $28.06 |
| Keystone First Chip | Keystone Medicaid | $28.06 |
| Blue Cross - Pa (Capital) | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Ak (Premera) | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Az | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Sd (Wellmark) | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Al | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Oh (Anthem) | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Mo (Anthem) | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Ne | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Ks | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - In (Anthem) | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Wa (Premera) | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Va (Carefirst) | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Va (Anthem) | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Vt | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Ut (Regence) | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - TX | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Sc | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Tn | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Ri | Independence Blue Cross HMO/PPO | $49.68 |
| BCBS Generic | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Cross - Federal | Independence Blue Cross HMO/PPO | $49.68 |
| Blue Shield - Wa (Regence) | Independence Blue Cross HMO/PPO | $49.68 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.