Basic metabolic panel at Gundersen Palmer Lutheran Hospital and Clinic. CPT 80048.
What Gundersen Palmer Lutheran Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$57.62cash price (self-pay)
$97.00list price
$3.16–$94.09range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $3.16 |
| Molina Health | Managed Medicaid | $3.16 |
| Wellmark | HMO | $17.11 |
| Wellmark | Indemnity/PPO | $18.79 |
| Alliance | Premier/All Products | $32.15 |
| Alliance | Comprehensive/All Products | $32.15 |
| Quartz | All Products | $41.03 |
| Quartz | All Other Self Funded | $42.68 |
| Quartz | Self Funded | $45.59 |
| Quartz | Level Funded | $47.05 |
| UHC | All Payer Appendix | $48.11 |
| Health Partners | Medicaid HMO | $48.50 |
| Wellmark | All Products | $49.47 |
| Aetna | Medicare Advantage | $50.44 |
| Amerigroup | Medicare Advantage | $50.44 |
| Health Partners | Medicare Advantage | $50.44 |
| Humana | Medicare Advantage | $50.44 |
| Iowa Total Care | Medicaid | $50.44 |
| Managed Health Service | Managed Medicaid | $50.44 |
| Quartz | Medicare Advantage | $50.44 |
| Quartz | Medicaid_Badgercare | $50.44 |
| UHC | Medicare Advantage | $50.44 |
| Wellmark | Medicare Advantage | $50.44 |
| Quartz | Fully Insured | $52.87 |
| UCARE | Non-Dually Eligible | $53.35 |
| UCARE | Dually Eligible | $53.35 |
| UCARE | MSHO/Minnesota Special Needs | $53.35 |
| Health Partners | Medicare Cost | $58.20 |
| Medical Associates | CAH Specific | $77.60 |
| Trilogy | All Products | $77.60 |
Inpatient
$57.62cash price (self-pay)
$97.00list price
$41.03–$94.09range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $57.13 |
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All common services at Gundersen Palmer Lutheran Hospital and Clinic