Comprehensive metabolic panel at St. Luke's Wood River Standard Charges. CPT 80053.
What St. Luke's Wood River Standard Charges publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$47.00cash price (self-pay)
$47.00list price
$26.79–$45.59range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Wr Va Ccn | $26.79 |
| Medicare Advantage Generic [1019] | Hb Wr Medicare Advantage | $26.79 |
| Medicare Advantage Generic [1019] | Hb Wr Molina Mmcp | $26.79 |
| Medicare Advantage Molina [1053] | Hb Wr Molina Mmcp | $26.79 |
| Medicare Advantage Pacificsource [1039] | Hb Wr Pacificsource HMO PPO | $26.79 |
| Medicare Advantage Pacificsource [1039] | Hb Wr Slhp Pacificsource Med | $26.79 |
| Medicare Advantage Regence [1016] | Hb Wr Medicare Advantage | $26.79 |
| Veterans Affairs [1056] | Hb Wr Va Ccn | $26.79 |
| Blue Cross/Medicare Advantage [1009] | Hb Wr Bci True & Secure Med Adv | $27.06 |
| Medicare Advantage Generic [1019] | Hb Wr Molina Med Adv | $27.33 |
| Medicare Advantage Molina [1053] | Hb Wr Molina Med Adv | $27.33 |
| Medicare Advantage UHC [1013] | Hb Wr Aarp Med Adv | $28.13 |
| Medicare Advantage Aetna [1017] | Hb Wr Aetna Med Adv | $29.47 |
| Commercial [1028] | Hb Wr Multiplan Primary Network | $37.60 |
| Commercial [1028] | Hb Wr Amps | $39.95 |
| Commercial [1028] | Hb Wr Christian Health Aid | $39.95 |
| Blue Cross Federal [1008] | Hb Wr Bci PPO Fep | $40.00 |
| Blue Cross Idaho [1007] | Hb Wr Bci PPO Fep | $40.00 |
| Blue Cross Out Of State [1041] | Hb Wr Bci PPO Fep | $40.00 |
| Commercial [1028] | Hb Wr Moda Commercial | $41.36 |
| Moda [1055] | Hb Wr Moda Commercial | $41.36 |
| Aetna [1021] | Hb Wr Aetna Trinity Health (St Al'S) | $42.30 |
| Commercial [1028] | Hb Wr Northern Nevada Laborers Trust | $42.30 |
| Commercial [1028] | Hb Wr United Healthcare | $42.54 |
| Geha [1065] | Hb Wr United Healthcare | $42.54 |
| United Health Care [1025] | Hb Wr United Healthcare | $42.54 |
| United Medical Resources [1051] | Hb Wr United Healthcare | $42.54 |
| Cigna [1062] | Hb Wr Cigna | $43.71 |
| Commercial [1028] | Hb Wr Cigna | $43.71 |
| Providence [1022] | Hb Wr Cigna | $43.71 |
Inpatient
$81.00cash price (self-pay)
$81.00list price
$46.17–$78.57range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Wr Va Ccn | $46.17 |
| Medicare Advantage Generic [1019] | Hb Wr Medicare Advantage | $46.17 |
| Medicare Advantage Generic [1019] | Hb Wr Molina Mmcp | $46.17 |
| Medicare Advantage Molina [1053] | Hb Wr Molina Mmcp | $46.17 |
| Medicare Advantage Pacificsource [1039] | Hb Wr Pacificsource HMO PPO | $46.17 |
| Medicare Advantage Pacificsource [1039] | Hb Wr Slhp Pacificsource Med | $46.17 |
| Medicare Advantage Regence [1016] | Hb Wr Medicare Advantage | $46.17 |
| Veterans Affairs [1056] | Hb Wr Va Ccn | $46.17 |
| Blue Cross/Medicare Advantage [1009] | Hb Wr Bci True & Secure Med Adv | $46.63 |
| Medicare Advantage Generic [1019] | Hb Wr Molina Med Adv | $47.09 |
| Medicare Advantage Molina [1053] | Hb Wr Molina Med Adv | $47.09 |
| Medicare Advantage UHC [1013] | Hb Wr Aarp Med Adv | $48.48 |
| Medicare Advantage Aetna [1017] | Hb Wr Aetna Med Adv | $50.79 |
| Commercial [1028] | Hb Wr Multiplan Primary Network | $64.80 |
| Commercial [1028] | Hb Wr Amps | $68.85 |
| Commercial [1028] | Hb Wr Christian Health Aid | $68.85 |
| Blue Cross Federal [1008] | Hb Wr Bci PPO Fep | $69.26 |
| Blue Cross Idaho [1007] | Hb Wr Bci PPO Fep | $69.26 |
| Blue Cross Out Of State [1041] | Hb Wr Bci PPO Fep | $69.26 |
| Commercial [1028] | Hb Wr Moda Commercial | $71.28 |
| Moda [1055] | Hb Wr Moda Commercial | $71.28 |
| Aetna [1021] | Hb Wr Aetna Trinity Health (St Al'S) | $72.90 |
| Commercial [1028] | Hb Wr Northern Nevada Laborers Trust | $72.90 |
| Commercial [1028] | Hb Wr United Healthcare | $73.31 |
| Geha [1065] | Hb Wr United Healthcare | $73.31 |
| United Health Care [1025] | Hb Wr United Healthcare | $73.31 |
| United Medical Resources [1051] | Hb Wr United Healthcare | $73.31 |
| Cigna [1062] | Hb Wr Cigna | $75.33 |
| Commercial [1028] | Hb Wr Cigna | $75.33 |
| Providence [1022] | Hb Wr Cigna | $75.33 |
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All common services at St. Luke's Wood River Standard Charges