Comprehensive metabolic panel at Dickenson Community Hospital. CPT 80053.
What Dickenson Community Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$17.25cash price (self-pay)
$75.00list price
$10.56–$75.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Anthem Exchange | $10.56 |
| Blue Cross | Anthem HMO | $10.56 |
| Blue Cross | Anthem PPO, Traditional Indemnity | $10.56 |
| United Healthcare | UHC Heritage River Valley | $10.56 |
| United Healthcare | UHC Heritage Select | $10.56 |
| United Healthcare | United Healthcare | $10.56 |
| United Healthcare | Tenncare United Healthcare | $13.47 |
| Optima Health | Optima Health Medicaid | $13.59 |
| United Healthcare | United Healthcare Medicaid Virginia | $13.59 |
| Blue Cross | Anthem Hlthkeep Mediciad | $14.00 |
| Aetna | Aetna Better Health Of Virginia | $14.13 |
| Molina Healthcare | Molina Healthcare Medicaid | $14.13 |
| Aetna | Aetna Healthcare Medicare | $22.50 |
| Allcare Medicare | Allcare Medicare | $22.50 |
| Amerigroup | Amerigroup Medicare Wellpoint | $22.50 |
| Blue Cross | Anthem Medicare Virginia | $22.50 |
| Managed Medicaire | Managed Medicaire | $22.50 |
| Sentara Health | Sentara Medicare | $22.50 |
| United Healthcare | United Healthcare Medicare | $22.50 |
| United Mine Workers Of America | United Mine Workers Of America | $22.50 |
| Humana | Humana Medicare | $22.86 |
| Cigna Healthcare | Cigna Individual Family Plan | $23.10 |
| Aetna | Aetna Better Health Of Virginia Medicare | $23.18 |
| Molina Healthcare | Molina Healthcare Medicare | $23.40 |
| Cigna Healthcare | Cigna Medicare | $23.63 |
| Devoted Health Plan | Devoted Health Plan Medicare | $23.63 |
| Nhc Advantage | Nhc Advantage | $23.63 |
| Medcost | Medcost Vhn | $26.25 |
| Blue Cross | Blue Cross Ballad Health Employee | $26.57 |
| Sentara Health | Sentara Health | $27.67 |
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