Comprehensive metabolic panel at Suburban Behavioral Health Campus of Roxborough Memorial Hospital. CPT 80053.

What Suburban Behavioral Health Campus of 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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All common services at Suburban Behavioral Health Campus of Roxborough Memorial Hospital