Comprehensive metabolic panel at Intermountain Health Garfield Memorial Hospital. CPT 80053.
What Intermountain Health Garfield Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$61.09cash price (self-pay)
$81.45list price
$10.56–$95.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Choice Utah | Health Choice Utah-Medicaid | $20.75 |
| Healthy U | Medicaid | $20.75 |
| Medicare Intermountain Healthcare Nevada | Medicare Intermountain Heal | $20.75 |
| Molina Healthcare of Utah | Molina Healthcare Medicaid HMO | $20.75 |
| Molina | Medicaid | $20.75 |
| SelectHealth | Medicaid | $20.75 |
| SelectHealth | Medicare Advantage | $20.75 |
| SelectHealth | SelectHealth Community Care-Medicaid | $20.75 |
| UofU | Healthy U - Medicaid | $20.75 |
| Aetna | Aetna Medicare HMO | $21.29 |
| Aetna | Aetna Medicare PPO | $21.29 |
| Molina Healthcare of Utah | Molina Medicare Complete Care HMO SNP | $22.70 |
| Aetna | Aetna Standard Network AKA Aetna Health Plan Network for Utah | $86.19 |
| Aetna | Aetna Utah Connected Network | $86.19 |
| BYU Athletic Department | Athletic Services | $86.19 |
| Campbell Scientific | Samera Health | $86.19 |
| Cigna Healthcare | CIGNA Managed Care (HMO or Open Access Plus aka OAP | $86.19 |
| Cigna | PPO/EPO | $86.19 |
| Deseret Mutual | DMBA | $86.19 |
| EMI Health | EMI Health | $86.19 |
| EMI Health | EMI Health Choice | $86.19 |
| EMI Health | EMI Health Network Care | $86.19 |
| EMI Health | Mint | $86.19 |
| Franklin County | Samera Health | $86.19 |
| Health Utah | MotivHealth Health Utah | $86.19 |
| Juniper Systems | Samera Health | $86.19 |
| LW Miller | Samera Health | $86.19 |
| Managed Care Administrators, Inc. | Managed Care Administrators, Inc. | $86.19 |
| MotivHealth | MotivHealth | $86.19 |
| PEHP | PEHP Advantage Care - Non State | $86.19 |
Inpatient
$61.09cash price (self-pay)
$81.45list price
$41.95–$77.38range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Choice Utah | Health Choice Utah-Medicaid | $72.49 |
| Healthy U | Medicaid | $72.49 |
| Molina Healthcare of Utah | Molina Healthcare Medicaid HMO | $72.49 |
| Molina | Medicaid | $72.49 |
| Aetna | Aetna Extended Network | $77.38 |
| Aetna | Aetna Standard Network AKA Aetna Health Plan Network for Utah | $77.38 |
| Aetna | Aetna Utah Connected Network | $77.38 |
| Aetna | Aetna Whole Health Connected Utah Network | $77.38 |
| BCBS OOS - PPO | BCBS Association-Blue Card PPO Plan | $77.38 |
| BCBS OOS -TRAD | BCBS Association-Blue Card Traditional Plan | $77.38 |
| BYU Athletic Department | Athletic Services | $77.38 |
| Campbell Scientific | Samera Health | $77.38 |
| Cigna Healthcare | CIGNA Managed Care (HMO or Open Access Plus aka OAP | $77.38 |
| Cigna Healthcare | CIGNA Open Access Flex | $77.38 |
| Cigna | PPO/EPO | $77.38 |
| Deseret Mutual | DMBA | $77.38 |
| EMI Health | EMI Health | $77.38 |
| EMI Health | EMI Health Choice | $77.38 |
| EMI Health | EMI Health Network Care | $77.38 |
| EMI Health | Mint | $77.38 |
| Franklin County | Samera Health | $77.38 |
| Health Utah | MotivHealth Health Utah | $77.38 |
| Hygeia Corporation | Hygeia Corporation | $77.38 |
| Juniper Systems | Samera Health | $77.38 |
| LW Miller | Samera Health | $77.38 |
| Managed Care Administrators, Inc. | Managed Care Administrators, Inc. | $77.38 |
| MedCare International | Commercial | $77.38 |
| Molina Healthcare of Utah | CHIP - Molina | $77.38 |
| Molina | CHIP | $77.38 |
| MotivHealth | MotivHealth | $77.38 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Intermountain Health Garfield Memorial Hospital