Comprehensive metabolic panel at Intermountain Health Intermountain Medical Center. CPT 80053.
What Intermountain Health Intermountain Medical Center publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$71.86cash price (self-pay)
$95.82list price
$9.41–$95.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plan of Nevada | Medicaid | $10.56 |
| SelectHealth | Medicaid | $10.56 |
| Aetna | Medicare Adv HMO | $10.56 |
| Aetna | Medicare Adv PPO | $10.56 |
| American Health | Medicare Adv UT HMO I-SNP | $10.56 |
| Health Partners of Nevada | Medicare Advantage | $10.56 |
| Healthy U | Medicaid | $10.56 |
| Humana | Medicare Choice PPO | $10.56 |
| Molina | Medicaid | $10.56 |
| Molina | Medicare Advantage | $10.56 |
| Molina | Medicare Choice Care HMO | $10.56 |
| Molina | Medicare Complete Care HMO SNP | $10.56 |
| Regence BCBS | MedAdvantage PPO | $10.56 |
| SelectHealth | Medicare Advantage | $10.56 |
| UHC | Medicare Advantage | $10.56 |
| SelectHealth | Signature Individual ACA | $10.88 |
| SelectHealth | Value Individual ACA | $10.88 |
| SelectHealth | Med Individual ACA | $11.41 |
| Intermountain Caregiver Plan | Med Network | $40.63 |
| Intermountain Caregiver Plan | Share Network | $40.63 |
| SelectHealth | CHP | $40.63 |
| SelectHealth | Commercial | $40.63 |
| SelectHealth | FEHBP | $40.63 |
| SelectHealth | SelectShare | $40.63 |
| SelectHealth | SelectValue | $40.63 |
| SelectHealth | SelectCare | $48.48 |
| EMI | Commercial | $73.37 |
| Deseret Mutual | All Other | $75.05 |
| Deseret Mutual | Select | $75.05 |
| AWH Connected | Connected Utah | $78.40 |
Inpatient
$71.86cash price (self-pay)
$95.82list price
$1.15–$86.24range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $1.15 |
| Health Plan of Nevada | Medicaid | $28.75 |
| Intermountain Caregiver Plan | Med Network | $40.63 |
| Intermountain Caregiver Plan | Share Network | $40.63 |
| EMI | Commercial | $51.74 |
| Deseret Mutual | All Other | $55.10 |
| Deseret Mutual | Select | $55.10 |
| Regence BCBS | BlueOption | $59.17 |
| Regence BCBS | Cardiac Care | $59.17 |
| AWH Connected | Connected Utah | $60.85 |
| EMI Health | Mint | $66.50 |
| EMI Health | Network Care | $66.50 |
| PEHP | Advantage State | $66.69 |
| Corporation of the President | Workers Comp | $67.07 |
| Regence BCBS | High Performance | $67.07 |
| Regence BCBS | FEHBP | $67.55 |
| PEHP | Advantage Non-State | $68.03 |
| AG Administrators | USU Athletics | $68.99 |
| BYU Athletics | Commercial | $68.99 |
| BYU Risk Management | Workers Comp | $68.99 |
| Campbell Scientific | Commercial | $68.99 |
| CorVel Corporation | Workers Comp | $68.99 |
| Franklin County | Commercial | $68.99 |
| Juniper Systems | Commercial | $68.99 |
| LW Miller | Commercial | $68.99 |
| Injury Care of Nevada | Workers Comp | $71.86 |
| Regence BCBS | Traditional | $72.82 |
| Managed Care Admin | Commercial | $74.74 |
| Aetna | Connected | $76.66 |
| Molina | CHIP | $78.57 |
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All common services at Intermountain Health Intermountain Medical Center