Comprehensive metabolic panel at WTH Bolivar Hospital. CPT 80053.
What WTH Bolivar Hospital publishes for this service, straight from its standard-charges file, last updated June 2, 2026.
Outpatient / ER
$54.00cash price (self-pay)
$180list price
$6.34–$124range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | All Payer | $6.34 |
| River Valley Plan | TennCare | $9.60 |
| Oscar | HMO/Medicare Advantage/PPO/EPO/POS | $10.56 |
| Celtic Insurance Company | Commercial-Exchange | $16.37 |
| Blue Cross Blue Shield of Tennessee | Network S/E | $21.86 |
| Blue Cross Blue Shield of Tennessee | Network P | $23.76 |
| Veterans Affairs | Community Care Network | $43.20 |
| Blue Cross Blue Shield of Tennessee | BlueCare | $44.50 |
| Blue Cross Blue Shield of Tennessee | BlueChoice HMO | $44.50 |
| Cigna-HealthSpring | Medicare Advantage | $44.82 |
| Aetna | AWH/Vanderbilt Health Affiliated Network (VHAN)/VHAN - Employe | $117 |
| Aetna | Commercial | $124 |
Inpatient
$54.00cash price (self-pay)
$180list price
$124–$124range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $124 |
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