Comprehensive metabolic panel at Essentia Health-St. Mary's Children's Hospital (Duluth). CPT 80053.
What Essentia Health-St. Mary's Children's Hospital (Duluth) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$32.34cash price (self-pay)
$172list price
$10.56–$254range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Advocare/Security Health | Medicare | $10.56 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $10.56 |
| Freedom Blue PPO | Medicare | $10.56 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $10.56 |
| IMCARE MSHO (REF REQ) | Medicare | $10.56 |
| IMCARE MSHO PCC PRIME | Medicare | $10.56 |
| IMCARE MSHO REF REQ | Medicare | $10.56 |
| Itasca Med Care | Medicaid | $10.56 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $10.56 |
| MEDICA MSHO/Dual Solutions | Medicare | $10.56 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $10.56 |
| MEDICARE ADV PFFS | Medicare | $10.56 |
| ND VA ADMINISTRATION | Medicare | $10.56 |
| MN BCBS Commercial | BCBS MN | $22.05 |
| Sanford Health Plan | Commercial-NDPERS | $34.01 |
| Sanford Health Plan | Commercial | $35.80 |
| BCBS WI | Commercial | $37.24 |
| Medica Access | Medicaid | $56.94 |
| HealthPartners CARE PMAP | Medicaid | $68.45 |
| Blue Plus PMAP PCC Prime | Medicaid | $75.94 |
| BCBS Mn | Shp | $75.96 |
| Medica Uplan | Commercial | $95.12 |
| Medica | Commercial-FI | $95.12 |
| Medica | Commercial-SI | $97.69 |
| HealthPartners | SHP | $103 |
| Medica Choice | Commercial | $105 |
| UCare | Commercial | $113 |
| Cigna | Commercial | $123 |
| HealthPartners PCC Prime | Commercial | $123 |
| HealthPartners | Commercial | $123 |
Inpatient
$32.34cash price (self-pay)
$172list price
$21.02–$254range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Commercial-NDPERS | $73.78 |
| BCBS Mn | Shp | $75.96 |
| Sanford Health Plan | Commercial | $77.66 |
| Blue Plus PMAP PCC Prime | Medicaid | $86.00 |
| MN BCBS Commercial | BCBS MN | $94.60 |
| UCare | Commercial | $113 |
| WEA | Commercial-Narrow Network | $124 |
| BCBS WI | Commercial | $131 |
| Security Health | Commercial | $132 |
| WEA | Commercial | $132 |
| America's PPO | Commercial | $133 |
| WPS | Commercial | $143 |
| Aetna First Health | Commercial | $146 |
| HealthScope Benefits | Commercial | $146 |
| HealthEOS | Commercial | $148 |
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All common services at Essentia Health-St. Mary's Children's Hospital (Duluth)