Comprehensive metabolic panel at Lewisgale Hospital-montgomery. CPT 80053.
What Lewisgale Hospital-montgomery publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$860cash price (self-pay)
$860list price
$9.19–$774range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TriAtlantic | TRICR | $9.19 |
| Health Net | TRICR | $9.73 |
| Humana Military | TRCR | $10.49 |
| United | AllPayerAppendix | $10.56 |
| Devoted | MCR | $10.56 |
| Good Samaritan Hospice | COMM | $10.56 |
| Humana | MCR | $10.56 |
| Sentara Health | MCR | $10.56 |
| Aetna | MGMCR | $10.68 |
| Anthem | MGMCR | $10.88 |
| Cigna HealthSpring | MCR | $10.98 |
| Align Senior Care | MGMCR | $11.30 |
| Pyramid Life | MGMCR | $11.30 |
| Anthem | HIX | $45.17 |
| Anthem | HMO | $50.18 |
| Anthem | PPO | $50.18 |
| Cigna | NPR | $150 |
| Lifeworks | MCR | $163 |
| Universal Healthcare Group | MCR | $189 |
| Virginia Health Network | ULTRA | $301 |
| Aetna | SharedSavings | $310 |
| United | OptionsPPO | $333 |
| United | GlobalBenefitPlan | $387 |
| Greenvbrier Sporting Club | COMM | $516 |
| Multiplan | PHCS | $576 |
| Virginia Health Network | COMM | $611 |
| Virginia Health Network | WC | $611 |
| CorVel | WorkersComp | $619 |
| Richfield Nursing Center | COMM | $645 |
| Richfield Retirement Community | COMM | $645 |
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