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Comprehensive metabolic panel at WellSpan Evangelical Community Hospital. CPT 80053.

What WellSpan Evangelical Community Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$25.00cash price (self-pay)
$331list price
$10.45–$132range insurers pay
Insurance planNegotiated rate
Highmark_Medicare | All_Plans$10.45
Blue_Cross_BlueJourney_Medicare | All_Plans$10.56
Aetna_Advantra_Medicare | All_Plans$10.77
Humana_Medicare | All_Plans$10.77
Geisinger_Gold_Medicare | All_Plans$10.88
Amerihealth_Medicare | All_Plans$10.98
Jefferson_Health_Medicare_Advantage | All_Plans$11.40
PA_Health_&_Wellness_Medicare | All_Plans$11.40
Devoted_Medicare | All_Plans$11.62
UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care$11.62
United_Medicare | ISNP_DSNP_Plans$11.62
Highmark_Wholecare_Gateway_Medicaid | All_Plans$12.14
UPMC_Medicaid | All_Plans$12.86
Amerihealth_Caritas_Medicaid | All_Plans$13.79
UPMC | UPMC_For_Kids$14.14
Highmark_Wholecare_Gateway_Medicare | All_Plans$14.61
Health_Partners_Medicaid | All_Plans$14.61
Geisinger_Medicaid | All_Plans$15.17
PA_Health_&_Wellness_Medicaid | All_Plans$15.20
Highmark | Higmark_Healthy_Kids$16.05
United_Medicaid | Community_Plan_For_Kids$18.48
United_Healthcare | All_Plans$31.68
Geisinger | All_Plans$34.48
Performance_Blue | Blue_Cross_High_Performance_Network$40.54
Highmark | All_Other_Plans$45.04
Aetna | All_Plans$46.55
First_Health_Network | All_Plans$51.21
Blue_Cross | Capital_Cares_4_kids$61.45
Blue_Cross | All_Other_Plans$87.79
UPMC | All_Plans$132
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All common services at WellSpan Evangelical Community Hospital