Comprehensive metabolic panel at Ascension Saint Thomas Hickman. CPT 80053.
What Ascension Saint Thomas Hickman publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$9.50–$40.65range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Plan | 1743_mttn Medicaid Replacement United Health Care Com | $9.50 |
| Community Plan | 1744_sttn Medicaid Replacement United Health Care Com | $9.50 |
| UHC | 3171_mttn UHC 20250715 | $9.50 |
| UHC | 3172_rptn UHC 20250715 | $9.50 |
| UHC | 3173_rhtn UHC 20250715 | $9.50 |
| UHC | 3174_sdtn UHC 20250715 | $9.50 |
| UHC | 3175_thtn UHC 20250715 | $9.50 |
| UHC | 3176_uhc (Sttn) 20250715 | $9.50 |
| UHC Compass/Exchange | 3165_mttn UHC Exchange 20250715 | $10.57 |
| UHC Compass/Exchange | 3166_uhc Sttn Exchange 20250715 | $10.57 |
| UHC Compass/Exchange | 3167_rptn UHC Exchange 20250715 | $10.57 |
| UHC Compass/Exchange | 3168_rhtn UHC Exchange 20250715 | $10.57 |
| UHC Compass/Exchange | 3169_sdtn UHC Compass 20250715 | $10.57 |
| UHC Compass/Exchange | 3170_thtn UHC Compass 20250715 | $10.57 |
| Cigna Connect | 2769_sttn Cigna Connect 20240701 | $14.78 |
| Cigna Connect | 2772_mttn Cigna Connect 20240701 | $14.78 |
| Cigna Connect | 2779_rptn Cigna Connect 20240701 | $14.78 |
| Cigna Connect | 2780_rhtn Cigna Connect 20240701 | $14.78 |
| Cigna Connect | 2784_sdtn Cigna Connect 20240701 | $14.78 |
| Aetna | 3159_sttn Aetna 20250701 | $14.97 |
| Aetna (Rutherford Only) | 3160_mttn Aetna 20250701 | $14.97 |
| Cigna Connect | 3148_hktn Cigna Connect 20250101 | $16.26 |
| BCBS Aca Exchange | 3147_sttn Blue Cross Blue Shield Network E 2024123 | $17.64 |
| BCBS Aca Exchange | 3146_mttn Blue Cross Blue Shield Network E 2024123 | $20.58 |
| BCBS Network E | 3149_blue Cross Blue Shield Network E Regional 202504 | $21.05 |
| BCBS Network L | 3150_blue Cross Blue Shield Network L Regional 202504 | $22.93 |
| BCBS Select | 3182_blue Cross Blue Shield Select Regional 20250701 | $22.93 |
| BCBS Preferred | 3181_blue Cross Blue Shield Preferred Regional 202507 | $24.81 |
| BCBS Missionpoint | 2422_blue Cross Blue Shield Missionpoint Regional | $25.05 |
| Cigna PPO | 3199_cigna PPO (Dekalb) 20250601 | $27.89 |
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