Comprehensive metabolic panel at Jefferson Memorial Hospital. CPT 80053.
What Jefferson Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$169cash price (self-pay)
$765list price
$4.56–$765range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Amerigroup Community Care | $4.56 |
| TN Medicaid Non-Par | TN Medicaid Non-Par | $5.40 |
| NODE Tricare | NODE Tricare | $9.51 |
| NODE ChampVA | NODE ChampVA | $10.01 |
| Humana | NODE Humana MCR ADV | $10.35 |
| NODE Medicare Non Par | NODE Medicare Non Par | $10.35 |
| NODE Medicare Traditional | NODE Medicare Traditional | $10.35 |
| Node UHC Mcr Adv | Node UHC Mcr Adv | $10.35 |
| NODE BlueCare Plus TN MCR ADV | NODE BlueCare Plus TN MCR ADV | $10.56 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $10.56 |
| NODE Farm Bureau MCR ADV | NODE Farm Bureau MCR ADV | $10.56 |
| NODE Hospice Non Par Agree | NODE Hospice Non Par | $10.56 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $10.56 |
| Node Va | Node Va | $10.56 |
| Tennessee Breast and Cervical Program | Tennessee Breast and Cervical | $10.56 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $10.66 |
| Node BCBS Mcr Adv | Node BCBS Mcr Adv | $10.66 |
| NODE Healthspring MCR ADV | NODE Healthspring MCR ADV | $10.66 |
| NODE Amerigroup MCR ADV | NODE Amerigroup MCR ADV | $10.87 |
| United Healthcare | NODE UHC MCR Dual ADV | $10.87 |
| BlueCare | BCBS TN BlueCare | $10.95 |
| BlueCare | BCBS TN TennCare Select | $10.95 |
| NODE Wellcare MCR ADV | NODE Wellcare MCR ADV | $10.98 |
| Node Nhc Mcr Adv | Node Nhc Mcr Adv | $11.38 |
| BlueCare | BCBS TN CoverKids | $11.87 |
| Three Rivers Work Comp TN | Three Rivers Work Comp TN | $12.67 |
| NODE US Dept of Labor | NODE US Dept of Labor | $13.20 |
| NovaNet Work Comp TN | NovaNet Work Comp TN | $15.68 |
| Occunet Work Comp TN | Occunet Work Comp TN | $15.84 |
| TN Work Comp | TN Work Comp | $15.84 |
Inpatient
$169cash price (self-pay)
$765list price
$155–$765range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $155 |
| Multiplan Complementary | Multiplan Complementary | $604 |
| United Healthcare | UHC APA | $765 |
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