Comprehensive metabolic panel at Limestone Medical Center. CPT 80053.
What Limestone Medical Center publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
$158cash price (self-pay)
$264list price
$13.04–$211range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS PPO/Traditional | PPO/Traditional | $13.04 |
| BCBS HMO Blue Advantage | HMO | $13.04 |
| Texas Medicaid | UNKNOWN | $19.85 |
| WellMed Medicare Advantage | Medicare Advantage | $76.43 |
| United Health - Medicare Advantage | Medicare Advantage | $76.43 |
| BCBS Medicare Advantage | Medicare Advantage | $76.43 |
| Humana Medicare Advantage | Medicare Advantage | $76.43 |
| PPHP | Medicare Advantage | $77.96 |
| UHC Commercial | PPO/HMO | $163 |
| Cigna Commercial | PPO | $184 |
| Humana Commercial | PPO/HMO | $198 |
| Aetna Commercial | PPO/HMO | $211 |
Inpatient
$158cash price (self-pay)
$264list price
$163–$211range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Commercial | PPO/HMO | $163 |
| Humana Commercial | PPO/HMO | $198 |
| Aetna Commercial | PPO/HMO | $211 |
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