Comprehensive metabolic panel at Gundersen St. Elizabeth Hospital and Clinics. CPT 80053.
What Gundersen St. Elizabeth Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$87.09cash price (self-pay)
$143list price
$10.56–$137range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Medicaid | $10.56 |
| Group Health of South Central | Medicaid HMO | $10.56 |
| Iowa Total Care | Medicaid | $10.56 |
| Managed Health Service | Managed Medicaid | $10.56 |
| Quartz | Medicaid_Badgercare | $10.56 |
| South County | Managed Medicaid | $10.56 |
| Bcbsmn | Mhcp | $35.39 |
| Alliance | Premier/All Products | $40.13 |
| Alliance | Comprehensive/All Products | $40.13 |
| Medica | Minnesota Care | $59.20 |
| Quartz | All Products | $60.49 |
| Quartz | All Other Self Funded | $62.92 |
| Quartz | Self Funded | $67.21 |
| Quartz | Level Funded | $69.36 |
| Health Partners | Medicaid HMO | $71.50 |
| Aetna | Medicare Advantage | $77.22 |
| Quartz | Fully Insured | $77.94 |
| Medica | Medicare Advantage | $78.65 |
| Health Partners | Medicare Cost | $85.80 |
| Anthem | Medicare HMO/PPO | $92.95 |
| Health Partners | Medicare Advantage | $92.95 |
| Humana | Medicare Advantage | $92.95 |
| Quartz | Medicare Advantage | $92.95 |
| South County | Managed Medicare | $92.95 |
| UCARE | Dually Eligible | $92.95 |
| UCARE | Non-Dually Eligible | $92.95 |
| BCBSMN | All Products | $98.44 |
| Medica | AccessAbilty Solution | $99.24 |
| Medica | All Products | $110 |
| Group Health of South Central | All Products | $114 |
Inpatient
$87.09cash price (self-pay)
$143list price
$35.39–$137range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $84.23 |
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All common services at Gundersen St. Elizabeth Hospital and Clinics