Comprehensive metabolic panel at UPMC Northwest. CPT 80053.
What UPMC Northwest publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$127cash price (self-pay)
$211list price
$9.58–$179range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicare | $9.58 |
| UPMC Work Partners | Workers Comp | $10.43 |
| Geisinger | Medicaid/CHIP | $10.56 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $10.56 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $10.81 |
| Aetna | Medicare | $10.88 |
| United Healthcare | Unison Advantage Non Special Needs | $11.09 |
| Aetna of PA | Medicare | $11.09 |
| AmeriHealth Caritas | Medicare | $11.40 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $11.40 |
| Highmark Wholecare (prev Gateway) | Medicare | $11.40 |
| United Healthcare | Unison Advantage Special Needs | $11.62 |
| UPMC Health Plan | Managed Medicaid | $12.86 |
| United Healthcare Community Plan for Families | Unison Kids | $13.44 |
| Aetna | Medicaid | $14.03 |
| Highmark Wholecare (prev Gateway) | Medicaid | $17.34 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $18.25 |
| PA Health & Wellness | PA Medicaid HMO | $19.92 |
| UPMC Health Plan | Commercial | $20.01 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Ca | $72.85 |
| Aetna | EBR ASO | $84.40 |
| Cigna | Commercial | $84.40 |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $89.75 |
| Aetna | EBR FI | $127 |
| Aetna | Neighborhood Network | $127 |
| Aetna | Home Depot Employer Group | $130 |
| Aetna | NBR ASO/FI | $133 |
| Cigna | New Business ASO | $133 |
| InterGroup | PPO | $145 |
| Coventry/First Health | Commercial | $148 |
Inpatient
$127cash price (self-pay)
$211list price
$84.40–$3,704range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | EBR ASO | $84.40 |
| Cigna | Commercial | $84.40 |
| Aetna | EBR FI | $122 |
| Aetna | Neighborhood Network | $131 |
| Aetna | Home Depot Employer Group | $134 |
| Aetna | NBR ASO/FI | $137 |
| Cigna | New Business ASO | $137 |
| Coventry/First Health | Commercial | $148 |
| Private Health Care Systems | PPO | $169 |
| Humana | Commercial | $179 |
| InterGroup | PPO | $1,921 |
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