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Comprehensive metabolic panel at Northwest Texas Healthcare System. CPT 80053.

What Northwest Texas Healthcare System publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

—cash price (self-pay)
$733list price
$7.17–$586range insurers pay
Insurance planNegotiated rate
Cigna | Managed_care$7.17
United_healthcare | Managed_care$8.62
Superior | Medicaid$8.87
Molina | Medicaid$9.31
Oklahoma | Medicaid$9.39
First_care_chip | Medicaid$9.76
Wellpoint_starkids | Medicaid$24.39
Superior_starkids | Medicaid$26.83
Amerigroup | Medicaid$26.88
First_care_star | Medicaid$29.56
Superior_star | Medicaid$29.56
Superior_star_plus | Medicaid$31.67
Wellpoint_ Amgrp_star_plus | Medicaid$31.67
First_care_star_plus | Medicaid$34.83
Blue_cross_blue_shield_of_tx | Advantage$36.22
Blue_cross_blue_shield_of_tx | HMO$39.49
Blue_cross_blue_shield_of_tx | Managed_care$42.45
Blue_cross_blue_shield_of_tx | PPO$43.93
Aetna | Managed_care$147
Scott_and_white_healthplan | Managed_care$198
Multiplan | Managed_care$586
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All common services at Northwest Texas Healthcare System