Comprehensive metabolic panel at CHI Health Missouri Valley. CPT 80053.
What CHI Health Missouri Valley publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$15.68cash price (self-pay)
$192list price
$10.56–$344range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare|All Plans | $10.56 |
| Medica | Medicare|All Plans | $10.56 |
| PACE | Medicare|All Plans | $10.56 |
| United | Medicare|All Plans | $10.56 |
| Centene | Medicare|All Plans | $10.77 |
| Amerigroup | Medicare|All Plans | $11.09 |
| Great Plains | Medicare|All Plans | $11.09 |
| AMPS | Commercial|All Plans | $23.44 |
| BCBS - NE | Commercial|BluePrint | $53.44 |
| BCBS - NE | Commercial|All Other Plans | $56.25 |
| United | Medicaid|Community Plan | $82.34 |
| Amerigroup | Medicaid|All Plans | $83.99 |
| Total Care | Medicaid|All Plans | $83.99 |
| IAMolina | Medicaid|All Plans | $85.64 |
| Medica | Commercial|All Other Plans | $174 |
| Medica | Commercial|CHI Health | $174 |
| Greater Omaha Packing | Commercial|Broad Network | $184 |
| Greater Omaha Packing | Commercial|Narrow Network | $184 |
| Medica | Commercial|ACO | $184 |
| Medica | Commercial|Open Access | $184 |
| Midlands Choice | Commercial|Premier | $184 |
| Midlands Choice | Commercial|Standard | $184 |
| Millard Public Schools | Commercial|Broad Network | $184 |
| Millard Public Schools | Commercial|Narrow Network | $184 |
| One World | Commercial|Broad Network | $184 |
| One World | Commercial|Narrow Network | $184 |
| QuikTrip | Commercial|All Plans | $184 |
| Timpte | Commercial|Broad Network | $184 |
| United | Commercial|All Plans | $184 |
| MultiPlan | Commercial|All Plans | $188 |
Inpatient
$15.68cash price (self-pay)
$192list price
$18.24–$344range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | Commercial|HMO | $109 |
| Wellmark | Commercial|PPO | $109 |
| BCBS - NE | Commercial|BluePrint | $173 |
| Medica | Commercial|All Other Plans | $174 |
| Medica | Commercial|CHI Health | $174 |
| BCBS - NE | Commercial|All Other Plans | $182 |
| Greater Omaha Packing | Commercial|Broad Network | $184 |
| Greater Omaha Packing | Commercial|Narrow Network | $184 |
| Medica | Commercial|ACO | $184 |
| Medica | Commercial|Open Access | $184 |
| Midlands Choice | Commercial|Premier | $184 |
| Midlands Choice | Commercial|Standard | $184 |
| Millard Public Schools | Commercial|Broad Network | $184 |
| Millard Public Schools | Commercial|Narrow Network | $184 |
| One World | Commercial|Broad Network | $184 |
| One World | Commercial|Narrow Network | $184 |
| QuikTrip | Commercial|All Plans | $184 |
| Timpte | Commercial|Broad Network | $184 |
| United | Commercial|All Plans | $184 |
| MultiPlan | Commercial|All Plans | $188 |
| PHCS | Commercial|All Plans | $188 |
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