Comprehensive metabolic panel at UPMC Childrens. CPT 80053.
What UPMC Childrens publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$933cash price (self-pay)
$1,555list price
$9.40–$1,400range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | CHIP | $10.56 |
| Health Plan of Upper Ohio Valley | CHIP | $10.56 |
| Health Plan of Upper Ohio Valley | Medicaid | $10.56 |
| Health Plan of Upper Ohio Valley | Medicare | $10.56 |
| Highmark BCBS of PA | Medicare | $11.20 |
| AmeriHealth Caritas | Medicare | $11.40 |
| Cigna | Medicare | $11.40 |
| Aetna | Medicare | $11.62 |
| Aetna | Medicaid | $27.58 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $43.78 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $45.24 |
| United Healthcare Community Plan for Families | PA Medicaid | $46.41 |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.17 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $47.38 |
| Geisinger | Medicaid/CHIP | $48.06 |
| UPMC Health Plan | CHIP | $72.07 |
| Highmark BCBS of PA | Managed Care - Social Mission | $79.94 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $89.42 |
| UPMC Health Plan | Managed Medicare | $89.42 |
| Highmark BCBS of PA | Managed Care | $94.04 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $102 |
| Highmark BCBS of PA | Commercial - Indemnity | $120 |
| United Healthcare | Compass Exchange | $622 |
| Aetna | Narrow Network | $658 |
| Geisinger | Commercial | $699 |
| Aetna | Fully Insured | $731 |
| Cigna | New Business ASO | $731 |
| Cigna | NBR ASO/FI | $731 |
| United Healthcare | All Business | $731 |
| Aetna | Commercial | $855 |
Inpatient
$933cash price (self-pay)
$1,555list price
$622–$1,400range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Compass Exchange | $622 |
| Aetna | Narrow Network | $658 |
| Geisinger | Commercial | $699 |
| Aetna | Fully Insured | $731 |
| Cigna | New Business ASO | $731 |
| Cigna | NBR ASO/FI | $731 |
| United Healthcare | All Business | $731 |
| Aetna | Commercial | $855 |
| Cigna | Commercial | $855 |
| Cigna | EBR | $855 |
| InterGroup | PPO | $1,166 |
| Coventry/First Health | Childrens Coventry FirstHealth Commercial | $1,244 |
| Saudi Armed Forces | Commercial | $1,244 |
| Health Payors Organization | Commercial | $1,322 |
| Multiplan | Commercial/Worker's Compensation | $1,322 |
| National Provider Network | PPO | $1,400 |
| Private Health Care Systems | PPO | $1,400 |
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