Comprehensive metabolic panel at Johnston Memorial Hospital. CPT 80053.
What Johnston Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$17.70cash price (self-pay)
$118list price
$5.28–$118range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Amerigroup | $5.28 |
| Optima Health | Optima Health Medicaid | $9.51 |
| Blue Cross | Anthem Hlthkeep Mediciad | $9.80 |
| Molina Healthcare | Molina Healthcare Medicaid | $9.89 |
| Aetna | Aetna Better Health Of Virginia | $9.99 |
| Aetna | Aetna Healthcare Medicare | $10.56 |
| Allcare Medicare | Allcare Medicare | $10.56 |
| Blue Cross | Anthem Exchange | $10.56 |
| Blue Cross | Anthem HMO | $10.56 |
| Blue Cross | Anthem PPO, Traditional Indemnity | $10.56 |
| Blue Cross | Blue Cross Medicare | $10.56 |
| Blue Cross | Blue Cross P Network | $10.56 |
| Blue Cross | Blue Cross S Network | $10.56 |
| Humana | Humana Medicare | $10.56 |
| Managed Medicaire | Managed Medicaire | $10.56 |
| Mountain Empire Pace | Mountain Empire Pace | $10.56 |
| Sentara Health | Sentara Medicare | $10.56 |
| United Healthcare | UHC Heritage River Valley | $10.56 |
| United Healthcare | UHC Heritage Select | $10.56 |
| Aetna | Aetna Better Health Of Virginia Medicare | $10.88 |
| Blue Cross | Anthem Medicare Virginia | $10.88 |
| Amerigroup | Amerigroup Medicare Wellpoint | $10.98 |
| Molina Healthcare | Molina Healthcare Medicare | $10.98 |
| Cigna Healthcare | Cigna Medicare | $11.09 |
| Devoted Health Plan | Devoted Health Plan Medicare | $11.09 |
| Nhc Advantage | Nhc Advantage | $11.09 |
| Blue Cross | Tenncare Blue Care | $12.70 |
| Blue Cross | Tenncare Blue Select | $12.70 |
| United Healthcare | Tenncare United Healthcare | $13.47 |
| Ambetter | Ambetter | $23.02 |
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