Comprehensive metabolic panel at Ascension Via Christi Rehabilitation Hospital. CPT 80053.

What Ascension Via Christi Rehabilitation Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

—cash price (self-pay)

—list price

$10.56–$42.77range insurers pay

Insurance plan	Negotiated rate
Default - 100 Percent Of Medicare Rates \| 1016_default - 100 Percent O	$10.56
Medicare Advantage Coventry \| 1339_medicare Advantage Coventry Outpati	$10.56
Medicare Advantage Humana \| 1340_medicare Advantage Humana Outpatient	$10.56
Medicare Advantage Other \| 1341_medicare Advantage Other Outpatient 20	$10.56
Va \| 1015_veterans Outpatient 20230101	$10.56
Vc Hope \| 1342_medicare Advantage Vc Hope Outpatient 20250101	$10.56
Aarp Medicare Replacement \| 1336_medicare Advantage Aarp Outpatient 20	$10.67
Allwell Medicare \| 1337_medicare Advantage Allwell Outpatient 20250101	$10.77
Medicare Advantage Blue Cross Blue Shield \| 1338_medicare Advantage Bl	$10.77
Medicare Advantage UHC \| 1343_rhks Medicare Advantage United Healthcar	$10.77
Smarthealth \| 1083_smarthealth Outpatient 20230101	$14.78
Smarthealth \| 1293_smarthealth Inpatient 20241001	$15.19
Cigna \| 1446_cigna Rhks 20250501	$15.92
Ambetter Sunflower \| 1003_ambetter Sunflower Outpatient 20230101	$17.95
United Healthcare Exchange \| 1479_rhks United Healthcare Exchange Outp	$29.57
Aetna: City Of Wichita \| 643_aetna City Of Wichita Stks, Vwks 20200415	$33.16
Aetna \| 1369_aetna Rhks 20241101	$37.24
Coventry City Of Wichita \| 318_stks, Vwks Coventry City Of Wichita 201	$42.77

—cash price (self-pay)

—list price

$10.56–$29.57range insurers pay

Insurance plan	Negotiated rate
Default - 100 Percent Of Medicare Rates \| 1490_default - 100 Percent O	$10.56
Medicare Advantage Humana \| 1499_medicare Advantage Humana Inpatient R	$10.56
Medicare Advantage Other \| 1501_medicare Advantage Other Inpatient Stk	$10.56
Va \| 1492_veterans Inpatient 20251001	$10.56
Vc Hope \| 1502_medicare Advantage Vc Hope Inpatient 20251001	$10.56
Aarp Medicare Replacement \| 1507_medicare Advantage Aarp Inpatient 202	$10.67
Medicare Advantage Coventry \| 1500_medicare Advantage Coventry Inpatie	$10.67
Allwell Medicare \| 1497_medicare Advantage Allwell Inpatient 20251001	$10.77
Medicare Advantage Blue Cross Blue Shield \| 1498_medicare Advantage Bl	$10.77
Medicare Advantage UHC \| 1509_rhks Medicare Advantage United Healthcar	$10.77
Smarthealth \| 1489_smarthealth Inpatient 20251001	$14.78
Ambetter Sunflower \| 1491_ambetter Sunflower Inpatient 20251001	$17.95
United Healthcare Exchange \| 1518_rhks United Healthcare Exchange Inpa	$29.57

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