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Comprehensive metabolic panel at Gifford Medical Center. CPT 80053.

What Gifford Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.

Outpatient / ER

$57.91cash price (self-pay)
$116list price
$10.56–$110range insurers pay
Insurance planNegotiated rate
United Healthcare | Medicare Advantage$10.56
Blue Cross Blue Shield of New Hampshire | Qualified Health Plan$51.29
Blue Cross Blue Shield of New Hampshire | Commercial$52.03
Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange$52.03
Blue Cross Blue Shield of Vermont | Medicare Advantage$52.11
Martins Point Health Care | Commercial$52.11
MVP Health Care of NY | Medicare Advantage$52.11
United Healthcare | VA CCN$52.11
Blue Cross Blue Shield of New Hampshire | SHOP On Exchange$69.72
Blue Cross Blue Shield of Vermont | Vermont Health Plan$92.07
Cigna | Commercial$92.65
Harvard Pilgrim Health Care | HMO$92.65
Harvard Pilgrim Health Care | PPO$92.65
Blue Cross Blue Shield of Vermont | Managed Care$93.81
Blue Cross Blue Shield of Vermont | Commercial$98.44
MVP Health Care of NY | Commercial$98.44
Multiplan | Commercial$108
Aetna of VT | Commercial$110
United Healthcare | Commercial$110

Inpatient

$57.91cash price (self-pay)
$116list price
$85.71–$110range insurers pay
Insurance planNegotiated rate
Blue Cross Blue Shield of New Hampshire | Commercial$85.71
Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange$85.71
Blue Cross Blue Shield of Vermont | Vermont Health Plan$92.65
Cigna | Commercial$92.65
Harvard Pilgrim Health Care | HMO$92.65
Harvard Pilgrim Health Care | PPO$92.65
Blue Cross Blue Shield of Vermont | Managed Care$97.28
Blue Cross Blue Shield of Vermont | Commercial$98.44
MVP Health Care of NY | Commercial$98.44
Multiplan | Commercial$108
Aetna of VT | Commercial$110
United Healthcare | Commercial$110
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All common services at Gifford Medical Center