Comprehensive metabolic panel at St. Luke's Health Memorial San Augustine. CPT 80053.

What St. Luke's Health Memorial San Augustine publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$1.76cash price (self-pay)

$31.00list price

$2.11–$1,196range insurers pay

Insurance plan	Negotiated rate
United \| Commercial\|Exchange	$5.58
United \| Commercial\|All Other Plans	$7.13
Aetna \| Commercial\|All Plans	$7.75
AETNA \| Medicare\|All Plans	$10.56
HUMANA \| Medicare\|All Plans	$10.56
Wellpoint \| Medicare\|All Plans	$10.88
BCBS \| Medicare\|All Plans	$11.09
CIGNA HEALTHSPRING \| Medicare\|All Other Plans	$11.09
UNITED \| Medicare\|All Plans	$11.09
CIGNA HEALTHSPRING \| Medicare\|PPO	$11.19
SCANHealth \| Medicare\|All Plans	$11.30
TCHP \| Medicaid\|All Plans	$12.17
MD Save \| Commercial\|All Plans	$13.20
SUPERIOR \| Medicaid\|All Other Plans	$14.46
SUPERIOR \| Medicaid\|STARPLUS	$14.46
UNITED \| Medicaid\|All Other Plans	$14.46
UNITED \| Medicaid\|CHIP	$14.46
UNITED \| Medicaid\|STAR	$14.46
UNITED \| Medicaid\|STARKIDS	$14.46
Wellpoint \| Medicaid\|All Other Plans	$14.46
CIGNA HEALTHSPRING \| Medicaid\|STARPLUS	$14.75
Wellpoint \| Medicaid\|STARPLUS	$14.89
BCBS \| Medicaid\|All Plans	$15.18
Wellpoint \| Commercial\|Exchange	$16.64
BCBS-TX \| Commercial\|Blue Advantage HMO	$20.06
PHCS \| Commercial\|All Plans	$21.08
Humana \| Commercial\|All Plans	$21.70
Multiplan \| Commercial\|All Plans	$21.70
SUPERIOR \| Medicaid\|STAR	$22.70
Wellpoint \| Medicaid\|STAR	$22.70

$1.76cash price (self-pay)

$31.00list price

$2.93–$1,329range insurers pay

Insurance plan	Negotiated rate
Aetna \| Commercial\|All Plans	$7.75
Humana \| Commercial\|All Plans	$21.70
Multiplan \| Commercial\|All Plans	$21.70
PHCS \| Commercial\|All Plans	$24.80
Galaxy \| Commercial\|All Plans	$27.90
United \| Commercial\|Exchange	$31.00

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