Comprehensive metabolic panel at UPMC Wellsboro. CPT 80053.
What UPMC Wellsboro publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$215cash price (self-pay)
$343list price
$10.43–$341range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Work Partners | Workers Comp | $10.43 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.69 |
| Geisinger | Medicaid/CHIP | $12.86 |
| UPMC Health Plan | CHIP | $12.86 |
| UPMC Health Plan | Managed Medicaid | $12.86 |
| Highmark Wholecare (prev Gateway) | Medicaid | $13.03 |
| United Healthcare Community Plan for Families | PA Medicaid | $14.96 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $17.63 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $19.92 |
| Aetna | Medicare | $61.65 |
| Highmark BCBS of PA | Medicare | $68.50 |
| Highmark Wholecare (prev Gateway) | Medicare | $68.50 |
| UPMC Health Plan | Managed Medicare | $69.87 |
| Cigna | Medicare | $71.92 |
| United Healthcare | Medicare | $73.30 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $73.98 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $147 |
| UPMC Health Plan | Commercial | $149 |
| Highmark BCBS of PA | Commercial | $173 |
| Wirerope Works | Commercial | $190 |
| Geisinger | Commercial | $229 |
| Aetna | PEBTF Custom Network | $251 |
| Multiplan | Auto | $267 |
| Multiplan | PPO (Includes PHCS as a Payer) | $267 |
| United Healthcare | Commercial | $291 |
| Aetna | Commercial | $296 |
| America's Choice | PPO | $308 |
| InterGroup | PPO | $308 |
| Multiplan | Worker's Compensation | $325 |
Inpatient
$215cash price (self-pay)
$343list price
$181–$341range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wirerope Works | Commercial | $190 |
| Aetna | PEBTF Custom Network | $251 |
| Multiplan | Auto | $267 |
| Multiplan | PPO (Includes PHCS as a Payer) | $267 |
| United Healthcare | Commercial | $291 |
| Aetna | Commercial | $296 |
| America's Choice | PPO | $308 |
| InterGroup | PPO | $308 |
| Multiplan | Worker's Compensation | $325 |
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