Comprehensive metabolic panel at Holy Cross Hospital - Davis. CPT 80053.
What Holy Cross Hospital - Davis publishes for this service, straight from its standard-charges file, last updated February 11, 2026.
Outpatient / ER
$153cash price (self-pay)
$382list price
$7.29–$382range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Regence Blue Cross Blue Shield | Commercial Savewell | $7.29 |
| Managed Medicaid | Managed Medicaid | $8.97 |
| UUHP | Managed Medicaid | $8.97 |
| Regence Blue Cross Blue Shield | Commercial UVU | $8.98 |
| Cigna Healthcare | Commercial Local Plus | $9.02 |
| Humana | Managed Medicare | $10.35 |
| Managed Medicare | Managed Medicare | $10.35 |
| Medicare | Medicare | $10.35 |
| Regence Blue Cross Blue Shield | Commercial PAR | $10.56 |
| Regence Blue Cross Blue Shield | Commercial PPO | $10.56 |
| Cigna Healthcare | Commercial HMO/NBP/OAP | $11.02 |
| Employer Direct Healthcare | Commercial PPO/POS/HMO | $12.99 |
| Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $13.29 |
| MotivHealth | Commercial PPO/POS/HMO | $13.73 |
| Select Health | Commercial PPO/POS/HMO | $18.35 |
| UUHP | Commercial Health Plus | $20.66 |
| Molina | Commercial PPO/POS/HMO | $21.53 |
| UUHP | Commercial Healthy Preferred | $22.22 |
| UUHP | Commercial Healthy Premier | $24.67 |
| Cigna Healthcare | Commercial All Other | $29.08 |
| PEHP | Commercial Capital Network | $163 |
| Aetna | Commercial Peak Performance | $169 |
| PEHP | Commercial Summit Exclusive | $181 |
| PEHP | Commercial Summit | $194 |
| Wise | Commercial PPO | $198 |
| Aetna | Commercial Standard Network | $201 |
| Regence Blue Cross Blue Shield | Commercial Blue Option | $212 |
| PEHP | Commercial Advantage | $221 |
| Deseret Mutual Benefit Administrators | Commercial PPO/POS/HMO | $234 |
| Multiplan | Commercial Primary | $263 |
Inpatient
$153cash price (self-pay)
$382list price
$142–$382range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Regence Blue Cross Blue Shield | Commercial Savewell | $142 |
| PEHP | Commercial Capital Network | $163 |
| Molina | Commercial PPO/POS/HMO | $164 |
| Aetna | Commercial Peak Performance | $169 |
| Regence Blue Cross Blue Shield | Commercial UVU | $175 |
| PEHP | Commercial Summit Exclusive | $181 |
| Select Health | Commercial PPO/POS/HMO | $188 |
| PEHP | Commercial Summit | $194 |
| Aetna | Commercial Standard Network | $201 |
| Wise | Commercial PPO | $202 |
| Regence Blue Cross Blue Shield | Commercial PPO | $206 |
| PEHP | Commercial Advantage | $221 |
| Regence Blue Cross Blue Shield | Commercial Blue Option | $229 |
| Regence Blue Cross Blue Shield | Commercial PAR | $229 |
| Deseret Mutual Benefit Administrators | Commercial PPO/POS/HMO | $234 |
| Multiplan | Commercial Primary | $263 |
| Aetna | Commercial Signature | $277 |
| Aetna | Commercial Extended Network | $286 |
| Aetna | Commercial Indemnity | $305 |
| Aetna Rental Networks | Commercial PPO/POS/HMO | $323 |
| EMI Health | Commercial PPO/POS/HMO | $332 |
| Multiplan | Commercial Complementary | $347 |
| United Healthcare | Commercial Behavioral Health | $382 |
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