Comprehensive metabolic panel at Sanford Jackson Hospital. CPT 80053.
What Sanford Jackson Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$189cash price (self-pay)
$236list price
$74.10–$222range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan Align | Medicare Replacement | $74.10 |
| Blue Cross Blue Shield of Minnesota | PMAP | $74.25 |
| Ucare | Medicare Replacement | $79.53 |
| Wellmark SD | Medicare Replacement | $79.53 |
| Aetna | Medicare Replacement | $80.24 |
| Great Plains Medicare Advantage | Medicare Replacement | $80.24 |
| Health Partners | Medicare Replacement | $80.24 |
| United Healthcare | Medicare Replacement | $80.24 |
| Primewest | Medicare Replacement | $81.77 |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $81.77 |
| Primewest | Medicaid Managed Care | $88.26 |
| Sanford Health Plan | Group Health/True | $126 |
| Sanford Health Plan | SD Exchange True | $126 |
| Security Health Plan | Commercial | $130 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $149 |
| Blue Cross Blue Shield of Minnesota | State Employees | $149 |
| Sanford Health Plan | Commercial/ND Pers | $149 |
| Sanford Health Plan | SD Exchange Commercial | $149 |
| Health Partners | State Employees | $163 |
| Health Partners | Commercial | $189 |
| United Healthcare | Commercial + Top 20 | $197 |
| Aetna | Commercial | $205 |
| Ucare | Commercial | $207 |
| Medica | Choice | $207 |
| Cigna | Commercial | $212 |
| First Choice Health Network | Commercial | $212 |
| Healthez | Commercial | $212 |
| Multiplan | Commercial | $212 |
| Medica | Elect | $222 |
Inpatient
$189cash price (self-pay)
$236list price
$126–$223range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Group Health/True | $126 |
| Sanford Health Plan | SD Exchange True | $126 |
| Security Health Plan | Commercial | $130 |
| Sanford Health Plan | Commercial/ND Pers | $149 |
| Sanford Health Plan | SD Exchange Commercial | $149 |
| Health Partners | State Employees | $163 |
| Health Partners | Commercial | $189 |
| United Healthcare | Commercial + Top 20 | $197 |
| Aetna | Commercial | $205 |
| Ucare | Commercial | $207 |
| Medica | Choice | $209 |
| Cigna | Commercial | $212 |
| First Choice Health Network | Commercial | $212 |
| Healthez | Commercial | $212 |
| Multiplan | Commercial | $212 |
| Medica | Elect | $223 |
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