80053
Comprehensive metabolic panel
Comprehensive metabolic panel is the #101 most-billed Medicaid procedure code, with $1.95B in payments across 226.1M claims from 2018–2024. The national median cost per claim is $7.24. Costs vary widely — the 90th percentile is $21.22 per claim, 2.9× the median.
Total Paid
$1.95B
0.18% of all spending
Total Claims
226.1M
Providers
13K
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 80053? Based on 11K providers billing this code nationally.
Median
$7.24
Average
$12.03
Std Dev
$34.31
Max
$1,963.66
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.11 and $10.36 per claim for this code.
90% bill between $0.85 and $21.22.
Top 1% bill above $102.86.
About This Procedure
HCPCS code 80053 (Comprehensive metabolic panel) was billed by 13K providers across 226.1M claims, totaling $1.95B in Medicaid payments from 2018–2024. This code was used for 191.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.24
Providers Billing
11K
National Spending
$1.95B
Avg/Median Ratio
1.66×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 80053
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $29.0M |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $27.2M |
| 3 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $26.9M |
| 4 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $20.1M |
| 5 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $16.6M |
| 6 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $16.5M |
| 7 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $15.7M |
| 8 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $15.6M |
| 9 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $15.5M |
| 10 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $15.0M |
| 11 | Port City Operating Company Llc Stockton, CA · General Acute Care Hospital | $13.7M |
| 12 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $13.0M |
| 13 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $10.9M |
| 14 | Florida Cancer Specialists & Research Institute Llc Cape Coral, FL · Internal Medicine Medical Oncology | $9.5M |
| 15 | Palomar Health Escondido, CA · General Acute Care Hospital | $9.0M |
| 16 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $8.7M |
| 17 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $8.2M |
| 18 | 1649726738 | $7.3M |
| 19 | 1508856535 | $7.0M |
| 20 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $6.9M |
Showing top 20 of 13K providers billing this code