Comprehensive metabolic panel at Ascension Saint Thomas Midtown. CPT 80053.
What Ascension Saint Thomas Midtown publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$3.80–$40.65range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Plan | 879_medicaid Replacement United Health Care Community | $3.80 |
| Point Comfort Underwriters | 1229_medicare Advantage Point Comfort Und | $9.50 |
| UHC | 1310_uhc (Midtown) 20250715 | $9.50 |
| Amerigroup | 1217_medicaid Replacement Amerigroup Outpatient 20250101 | $9.82 |
| Tricare | 291_tricare Op 20160101 | $10.14 |
| Americhoice Mcr Replacement | 1219_americhoice Medicare Outpatient 202 | $10.45 |
| Ascension Complete Medicare Advantage | 1220_ascension Complete Medica | $10.56 |
| Centurion Of Tn | 1224_medicare Advantage Centurion Of Tn Outpatient 2 | $10.56 |
| Clover Medicare Advantage | 1225_medicare Advantage Clover Outpatient | $10.56 |
| Healthspring Mcr Replacement | 1226_medicare Advantage Healthspring Ou | $10.56 |
| Humana Mcr Replacement | 1227_medicare Advantage Humana Outpatient 202 | $10.56 |
| Medicare Other | 1232_medicare Other Outpatient 20250101 | $10.56 |
| Nhc Advantage | 1228_medicare Advantage Nhc Outpatient 20250101 | $10.56 |
| Optum Va | 1215_medicare Advantage Optum Va Outpatient 20250101 | $10.56 |
| Triwest Va Pccc | 1216_medicare Triwest Outpatient 20250101 | $10.56 |
| UHC Mcr Replacement | 1230_medicare Advantage United Health Care Outpa | $10.56 |
| UHC Compass/Exchange | 1309_uhc Compass Exchange (Midtown) 20250715 | $10.57 |
| Aetna Medadvantage | 1231_medicare Aetna Outpatient 20250101 | $10.77 |
| Amerigroup Mcr Replacement | 1221_medicare Advantage Amerigroup Outpat | $10.88 |
| BCBS Blue Care | 1015_bcbs Blue Care Tenncare Select 20221001 | $10.95 |
| BCBS Blucare Plus | 1222_medicare Advantage Blue Cross Blue Shield Blu | $10.98 |
| BCBS Medicare Replacement | 1223_medicare Advantage Blue Cross Blue Sh | $11.09 |
| Windsor Medicare | 1233_medicare Wellcare (Windsor) Outpatient 2025010 | $11.09 |
| Ambetter Of Tn | 1212_ambetter Of Tn Outpatient 20250101 | $13.73 |
| Oscar Health Plan | 1213_bhtn Oscar Health Outpatient 20250101 | $14.78 |
| Smart Health | 1214_bhtn Ascension Smarthealth Outpatient 20250101 | $14.78 |
| Cigna Connect | 1154_bhtn Cigna Connect 20240701 | $14.78 |
| Aetna | 1308_bhtn Aetna 20250701 | $14.97 |
| Aetna Vhan | 1203_bhtn Aetna Vhan 20241001 | $14.97 |
| Aetna Whole Health | 1204_bhtn Aetna Whole Health 20241001 | $14.97 |
Inpatient
—cash price (self-pay)
—list price
$9.50–$14.78range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point Comfort Underwriters | 1327_medicare Advantage Point Comfort Und | $9.50 |
| Americhoice Mcr Replacement | 1323_americhoice Medicare Inpatient 2025 | $9.93 |
| Tricare | 1319_tricare Ip 20251001 | $10.14 |
| Ascension Complete Medicare Advantage | 1335_ascension Complete Medica | $10.56 |
| Centurion Of Tn | 1332_medicare Advantage Centurion Of Tn Inpatient 20 | $10.56 |
| Clover Medicare Advantage | 1331_medicare Advantage Clover Inpatient 2 | $10.56 |
| Covid Uninsured Test Fund | 1320_covid Uninsured Test Fund Inpatient 2 | $10.56 |
| Healthspring Mcr Replacement | 1330_medicare Advantage Healthspring In | $10.56 |
| Humana Mcr Replacement | 1329_medicare Advantage Humana Inpatient 2025 | $10.56 |
| Medicare Other | 1322_medicare Other Inpatient 20251001 | $10.56 |
| Nhc Advantage | 1328_medicare Advantage Nhc Inpatient 20251001 | $10.56 |
| Optum Va | 1338_medicare Advantage Optum Va Inpatient 20251001 | $10.56 |
| Triwest Va Pccc | 1339_medicare Triwest Inpatient 20251001 | $10.56 |
| UHC Mcr Replacement | 1324_uhc Medicare Inpatient 20251001 | $10.56 |
| Aetna Medadvantage | 1326_medicare Aetna Inpatient 20251001 | $10.77 |
| Amerigroup Mcr Replacement | 1334_medicare Advantage Amerigroup Inpati | $10.88 |
| BCBS Blucare Plus | 1333_medicare Advantage Blue Cross Blue Shield Blu | $10.98 |
| BCBS Medicare Replacement | 1340_medicare Advantage Blue Cross Blue Sh | $11.09 |
| Windsor Medicare | 1325_medicare Wellcare (Windsor) Inpatient 20251001 | $11.09 |
| Ambetter Of Tn | 1337_ambetter Of Tn Inpatient 20251001 | $13.73 |
| Smart Health | 1321_bhtn Ascension Smarthealth Inpatient 20251001 | $14.78 |
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