Comprehensive metabolic panel at St. Luke's Health - The Woodlands Hospital. CPT 80053.
What St. Luke's Health - The Woodlands Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$473cash price (self-pay)
$1,351list price
$7.60–$1,351range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Renaissance | Commercial|All Plans | $7.60 |
| Montgomery Hospital District | Commercial|All Plans | $8.87 |
| BCBS | Medicaid|All Plans | $9.31 |
| CHC | Medicaid|All Other Plans | $14.00 |
| KelseyCare | Commercial|Exchange | $14.26 |
| BCBS-TX | Commercial|MyBlue Health Exchange | $15.42 |
| Cigna | Commercial|All Other Plans | $15.84 |
| Community Health Choice | Commercial|Exchange | $15.84 |
| Superior Health Plan | Commercial|All Plans | $15.84 |
| Wellpoint | Commercial|Exchange | $15.84 |
| Aetna | Commercial|Exchange | $16.26 |
| Bright Health | Commercial|All Plans | $17.42 |
| CHC | Medicaid|STAR | $18.74 |
| United | Commercial|Charter | $19.56 |
| United | Commercial|Exchange | $19.56 |
| United | Commercial|HMO | $19.56 |
| United | Commercial|PPO | $19.56 |
| BCBS-TX | Commercial|Exchange | $20.06 |
| Cigna | Commercial|Surefit | $25.61 |
| Cigna | Commercial|HMO | $28.26 |
| NXHealth | Commercial|All Plans | $34.32 |
| BCBS-TX | Commercial|Blue Premier | $34.43 |
| Cigna | Commercial|PPO | $38.64 |
| BCBS-TX | Commercial|HMO | $46.25 |
| BCBS-TX | Commercial|PPO | $54.17 |
| OPTUM | Medicaid|STAR | $489 |
| United | Commercial|Optum | $635 |
| CHC | Medicaid|CHIP | $743 |
| CHC | Medicaid|HMO | $743 |
| Cigna Lifesource | Commercial|Transplant | $811 |
Inpatient
$473cash price (self-pay)
$1,351list price
$581–$1,351range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TCHPCHIP | Medicaid|HMO | $581 |
| CHC | Medicaid|CHIP | $743 |
| CHC | Medicaid|HMO | $743 |
| TEXASTRUECHOICE | Medicaid|CHIP | $743 |
| Coventry | Commercial|PPO | $878 |
| First Health | Commercial|All Plans | $878 |
| Humana | Commercial|Transplant | $878 |
| Cigna | Commercial|Transplant | $946 |
| Healthsmart | Commercial|PPO | $946 |
| Interlink | Commercial|Transplant | $946 |
| MultiPlan | Commercial|All Plans | $1,013 |
| USA Health Network | Commercial|All Plans | $1,148 |
| MHealth Network | Commercial|PPO | $1,351 |
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All common services at St. Luke's Health - The Woodlands Hospital