Comprehensive metabolic panel at Intermountain Health Delta Community Hospital. CPT 80053.
What Intermountain Health Delta Community Hospital publishes for this service, straight from its standard-charges file, last updated July 28, 2026.
Outpatient / ER
$61.09cash price (self-pay)
$81.45list price
$10.56–$95.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Adv HMO | $18.31 |
| Health Partners of Nevada | Medicare Advantage | $18.31 |
| Health Plan of Nevada | Medicaid | $18.31 |
| Healthy U | Medicaid | $18.31 |
| Molina | Medicaid | $18.31 |
| SelectHealth | Medicaid | $18.31 |
| SelectHealth | Medicare Advantage | $18.31 |
| UHC | Medicare Advantage | $18.31 |
| American Health | Medicare Adv UT HMO I-SNP | $18.52 |
| Humana | Medicare Choice PPO | $18.57 |
| Molina | Medicare Complete Care HMO SNP | $18.62 |
| Regence BCBS | MedAdvantage PPO | $18.62 |
| Aetna | Medicare Adv PPO | $18.84 |
| AG Administrators | USU Athletics | $86.19 |
| Aetna | Standard | $86.19 |
| BYU Athletics | Commercial | $86.19 |
| Campbell Scientific | Commercial | $86.19 |
| Cigna | HMO | $86.19 |
| Cigna | PPO/EPO | $86.19 |
| Deseret Mutual | Commercial | $86.19 |
| EMI Health | Mint | $86.19 |
| EMI Health | Network Care | $86.19 |
| EMI | Commercial | $86.19 |
| Franklin County | Commercial | $86.19 |
| Health Utah | Commercial | $86.19 |
| Juniper Systems | Commercial | $86.19 |
| LW Miller | Commercial | $86.19 |
| Managed Care Admin | Commercial | $86.19 |
| MotivHealth | Commercial | $86.19 |
| PEHP | All Plans | $86.19 |
Inpatient
$61.09cash price (self-pay)
$81.45list price
$61.09–$77.38range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Injury Care of Nevada | Workers Comp | $61.09 |
| BYU Risk Management | Workers Comp | $69.23 |
| CorVel Corporation | Workers Comp | $69.23 |
| Corporation of the President | Workers Comp | $69.23 |
| Health Plan of Nevada | Medicaid | $72.49 |
| Healthy U | Medicaid | $72.49 |
| Molina | Medicaid | $72.49 |
| AG Administrators | USU Athletics | $77.38 |
| AWH Connected | Connected Utah | $77.38 |
| Aetna | Connected | $77.38 |
| Aetna | Extended | $77.38 |
| Aetna | Standard | $77.38 |
| BYU Athletics | Commercial | $77.38 |
| Campbell Scientific | Commercial | $77.38 |
| Cigna | HMO | $77.38 |
| Cigna | Open Access Flex | $77.38 |
| Cigna | PPO/EPO | $77.38 |
| Deseret Mutual | Commercial | $77.38 |
| EMI Health | Mint | $77.38 |
| EMI Health | Network Care | $77.38 |
| EMI | Commercial | $77.38 |
| Franklin County | Commercial | $77.38 |
| Global Excel | Commercial | $77.38 |
| Health Utah | Commercial | $77.38 |
| Hygeia Corporation | Commercial | $77.38 |
| Intermountain Caregiver Plan | Med Network | $77.38 |
| Juniper Systems | Commercial | $77.38 |
| LW Miller | Commercial | $77.38 |
| Managed Care Admin | Commercial | $77.38 |
| MedCare International | Commercial | $77.38 |
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All common services at Intermountain Health Delta Community Hospital