Comprehensive metabolic panel at UPMC Lititz. CPT 80053.
What UPMC Lititz publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$68.40cash price (self-pay)
$114list price
$10.39–$96.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial | $10.39 |
| Highmark BCBS of PA | Medicare | $10.45 |
| UPMC Work Partners | Workers Comp | $10.92 |
| Aetna | Medicare | $11.01 |
| Cigna | Medicare | $11.09 |
| Geisinger | Medicare | $11.09 |
| United Healthcare | Medicare | $11.30 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.69 |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.85 |
| UPMC Health Plan | Managed Medicaid | $15.20 |
| United Healthcare Community Plan for Families | PA Medicaid | $15.31 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.92 |
| Keystone Autism Services | ACAP | $16.90 |
| Geisinger | Medicaid/CHIP | $17.03 |
| Prime Net | Managed Medicare | $21.43 |
| Capital Blue Cross | Medicare Advantage | $22.80 |
| Keystone Health Plan | Medicare Advantage | $22.80 |
| Cigna | Commercial | $27.44 |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $31.22 |
| Highmark BCBS of PA | Medicaid | $32.51 |
| Highmark BCBS of PA | Commercial | $33.22 |
| Prime Net | Legacy Commercial | $44.46 |
| Aetna | ACO | $44.80 |
| Prime Net | ACO | $44.80 |
| Prime Net | NonGateKeeper | $53.01 |
| Aetna | Commercial | $53.35 |
| Prime Net | GateKeeper | $53.35 |
| Capital Blue Cross | CHIP | $53.48 |
| Capital Blue Cross | Commercial | $53.48 |
| Keystone Health Plan | Commercial | $53.48 |
Inpatient
$68.40cash price (self-pay)
$114list price
$42.29–$96.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | Legacy Commercial | $42.29 |
| Aetna | ACO | $42.64 |
| Prime Net | ACO | $42.64 |
| Prime Net | NonGateKeeper | $50.39 |
| Aetna | Commercial | $50.73 |
| Prime Net | GateKeeper | $50.73 |
| Preferred Healthcare System | Inter County Health Plan/Lancaster Gener | $62.70 |
| Geisinger | Commercial | $82.34 |
| Prime Net | FH-Medical Rental | $82.54 |
| Preferred Healthcare System | PPO | $85.50 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $96.90 |
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