Comprehensive metabolic panel at Ascension Seton Edgar B. Davis (Ascension Seton). CPT 80053.
What Ascension Seton Edgar B. Davis (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$91.62cash price (self-pay)
$255list price
$8.87–$115range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Chip/Chip Perinate | 3594_blue Cross Chip/Star Kids (Chi,Dcn) Inp | $8.87 |
| BCBS Chip/Chip Perinate | 3596_blue Cross Chip/Star Kids (Ebd) Inpatie | $8.87 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip (Chi,Dcn) Outpatient 20 | $8.87 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip/Star Kids (Chi,Dcn) Out | $8.87 |
| BCBS Chip/Chip Perinate | 4170_blue Cross Chip (Ebd) Outpatient 202412 | $8.87 |
| BCBS Chip/Chip Perinate | 4170_blue Cross Chip/Star Kids (Ebd) Outpati | $8.87 |
| BCBS Star | 3693_chirp Blue Cross Star (Chi,Dcn) Inpatient 20240901 | $8.87 |
| BCBS Star | 3695_chirp Blue Cross Star (Ebd) Inpatient 20240901 | $8.87 |
| BCBS Star Kids | 5003_blue Cross Star Kids (Chi,Dcn) Outpatient 202412 | $8.87 |
| BCBS Star Kids | 5007_blue Cross Star Kids (Ebd) Outpatient 20241201 | $8.87 |
| Dell Chip/Chip Perinate | 3605_dell Chip/Star Kids (Chi,Dcn) Inpatient | $8.87 |
| Dell Chip/Chip Perinate | 3607_dell Chip/Star Kids (Ebd) Inpatient 202 | $8.87 |
| Dell Chip/Chip Perinate | 4181_dell Chip/Star Kids (Ebd) Outpatient 20 | $8.87 |
| Dell Star | 3704_chirp Dell Star (Chi,Dcn) Inpatient 20240901 | $8.87 |
| Dell Star | 3706_chirp Dell Star (Ebd) Inpatient 20240901 | $8.87 |
| Dell Star | 4230_chirp Dell Star (Chi,Dcn) Outpatient 20241201 | $8.87 |
| Superior Ambetter | 3880_superior Ambetter (Chi,Dcn) Outpatient 202409 | $8.87 |
| BCBS Star | 4219_chirp Blue Cross Star (Chi,Dcn) Outpatient 20241201 | $10.95 |
| BCBS Star | 4221_chirp Blue Cross Star (Ebd) Outpatient 20241201 | $10.95 |
| Dell Chip/Chip Perinate | 4179_dell Chip/Star Kids (Chi,Dcn) Outpatien | $10.95 |
| Superior Ambetter | 3879_superior Ambetter (Chi,Dcn) Inpatient 2024090 | $12.07 |
| Dell Star | 4232_chirp Dell Star (Ebd) Outpatient 20241201 | $12.17 |
| Champva | 1135_champva Rest_tx 20180301 | $12.71 |
| Champva | 1136_champva Austin 20180301 | $14.16 |
| Cigna HMO | 4475_cigna HMO (Aus,Nw,Sw,Hay) 20250701 | $24.57 |
| Cigna HMO | 4476_cigna HMO (Wil,Del) 20250701 | $24.57 |
| Seton Performance Plus | 785_seton Performance EPO PPO (Aus,Nw,Sw,Hay) | $25.59 |
| Seton Performance Plus | 788_seton Performance EPO PPO (Wil,Del,Brk,Ba | $25.59 |
| Aetna Aco HMO | 4489_aetna Aco HMO 20250801 | $30.53 |
| Aetna Multi-Tier Whole Health Sha | 4490_aetna Multi-Tier Whole Health | $30.53 |
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All common services at Ascension Seton Edgar B. Davis (Ascension Seton)