Comprehensive metabolic panel at Essentia Health St. Mary's-Detroit Lakes. CPT 80053.
What Essentia Health St. Mary's-Detroit Lakes publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$164cash price (self-pay)
$255list price
$10.56–$219range 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 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 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $10.56 |
| PRIMEWEST MSHO | Medicare | $10.56 |
| Platinum Blue/Vantage Blue | Medicare | $10.56 |
| Primewest | Medicaid | $10.56 |
| SECURE BLUE MSHO | Medicare | $10.56 |
| SECURITY HEALTH MEDICARE | Medicare | $10.56 |
| UBH COST PLAN | Medicare | $10.56 |
| UBH MSHO/MEDICARE REPLACEMENT | Medicare | $10.56 |
| UBH MSHO | Medicare | $10.56 |
| BCBS MN | Medicaid | $62.66 |
| BCBS PLUS PMAP PCC PRIME | Medicaid | $62.66 |
| MN BCBS Commercial | BCBS MN | $62.66 |
| Sanford HealthPlan | Commercial-NDPERS | $71.69 |
| Sanford HealthPlan | Commercial | $75.47 |
| HealthPartners CARE PMAP | Medicaid | $99.20 |
| BCBS WI | Commercial | $107 |
| Medica Uplan | Commercial | $162 |
| HealthPartners | SHP | $171 |
Inpatient
$164cash price (self-pay)
$255list price
$109–$219range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford HealthPlan | Commercial-NDPERS | $109 |
| Sanford HealthPlan | Commercial | $115 |
| Ucare | Commercial | $168 |
| BCBS MN | Medicaid | $170 |
| BCBS PLUS PMAP PCC PRIME | Medicaid | $170 |
| WEA | Commercial-Narrow Network | $184 |
| MN BCBS Commercial | BCBS MN | $189 |
| BCBS WI | Commercial | $194 |
| WEA | Commercial | $196 |
| America's PPO | Commercial | $198 |
| WPS | Commercial | $212 |
| Aetna First Health | Commercial | $217 |
| HealthEOS | Commercial | $219 |
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All common services at Essentia Health St. Mary's-Detroit Lakes