Comprehensive metabolic panel at UPMC Community Osteopathic. CPT 80053.
What UPMC Community Osteopathic publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$43.80cash price (self-pay)
$114list price
$10.45–$112range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $10.45 |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $10.61 |
| Humana | Medicare | $10.88 |
| UPMC Work Partners | Workers Comp | $10.92 |
| Aetna | Medicare | $11.01 |
| Cigna | Medicare | $11.09 |
| United Healthcare | Medicare | $11.30 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $11.40 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.69 |
| United Healthcare Community Plan for Families | PA Medicaid | $15.31 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.92 |
| Geisinger | Medicaid/CHIP | $17.03 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $19.92 |
| Capital Blue Cross | Medicare Advantage | $22.80 |
| Keystone Health Plan | Medicare Advantage | $22.80 |
| Prime Net | Managed Medicare | $27.59 |
| Capital Blue Cross | CHIP | $61.81 |
| Capital Blue Cross | Commercial | $61.81 |
| Keystone Health Plan | Commercial | $61.81 |
| Aetna | ACO | $67.15 |
| Aetna | PEBTF ACO | $71.25 |
| UPMC Health Plan | CHIP | $72.07 |
| InterGroup | PPO | $74.10 |
| Aetna | Commercial | $83.90 |
| Prime Net | FH-Medical Rental | $85.73 |
| Wellspan Population Health | Commercial | $96.90 |
| Highmark BCBS of PA | CHIP | $112 |
| Highmark BCBS of PA | Commercial | $112 |
Inpatient
$43.80cash price (self-pay)
$114list price
$47.45–$96.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| InterGroup | PPO | $74.10 |
| Prime Net | FH-Medical Rental | $85.73 |
| Wellspan Population Health | Commercial | $96.90 |
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