Comprehensive metabolic panel at Intermountain Health Logan Regional Hospital. CPT 80053.
What Intermountain Health Logan Regional 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
$8.97–$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 |
| Southwest Behavioral Health | Behavioral Health | $10.56 |
| UHC | Medicare Advantage | $10.56 |
| Intermountain Caregiver Plan | Med Network | $34.53 |
| Intermountain Caregiver Plan | Share Network | $34.53 |
| SelectHealth | CHP | $66.07 |
| SelectHealth | Commercial | $66.07 |
| SelectHealth | FEHBP | $66.07 |
| SelectHealth | SM Individual ACA | $66.07 |
| EMI | Commercial | $75.77 |
| Deseret Mutual | All Other | $75.84 |
| Deseret Mutual | Select | $75.84 |
| Campbell Scientific | Commercial | $76.01 |
| Franklin County | Commercial | $76.01 |
| Juniper Systems | Commercial | $76.01 |
| LW Miller | Commercial | $76.01 |
| Regence BCBS | BlueOption | $78.66 |
Inpatient
$61.09cash price (self-pay)
$81.45list price
$1.71–$77.38range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $1.71 |
| Health Plan of Nevada | Medicaid | $24.44 |
| Intermountain Caregiver Plan | Med Network | $34.53 |
| Intermountain Caregiver Plan | Share Network | $34.53 |
| Campbell Scientific | Commercial | $57.02 |
| Franklin County | Commercial | $57.02 |
| Juniper Systems | Commercial | $57.02 |
| LW Miller | Commercial | $57.02 |
| CorVel Corporation | Workers Comp | $61.09 |
| Corporation of the President | Workers Comp | $61.09 |
| Injury Care of Nevada | Workers Comp | $61.09 |
| AG Administrators | USU Athletics | $69.23 |
| Altius MHNet Behavioral Health | Behavioral Health | $69.23 |
| BYU Athletics | Commercial | $69.23 |
| BYU Risk Management | Workers Comp | $69.23 |
| Cigna | Open Access Flex | $69.23 |
| Global Excel | Commercial | $69.23 |
| MedCare International | Commercial | $69.23 |
| AWH Connected | Connected Utah | $69.48 |
| Deseret Mutual | All Other | $69.48 |
| Deseret Mutual | Select | $69.48 |
| EMI Health | Mint | $69.48 |
| EMI Health | Network Care | $69.48 |
| EMI | Commercial | $69.48 |
| Managed Care Admin | Commercial | $69.48 |
| PEHP | Advantage Non-State | $69.48 |
| PEHP | Advantage State | $69.48 |
| PEHP | Capital Care | $69.48 |
| Aetna | Connected | $77.38 |
| Aetna | Extended | $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 Logan Regional Hospital