Comprehensive metabolic panel at Sanford Medical Center Mayville. CPT 80053.
What Sanford Medical Center Mayville publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$136cash price (self-pay)
$170list price
$74.25–$158range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $74.25 |
| Sanford Health Plan Align | Medicare Replacement | $83.98 |
| Ucare | Medicare Replacement | $90.10 |
| Aetna | Medicare Replacement | $91.12 |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $91.12 |
| Great Plains Medicare Advantage | Medicare Replacement | $91.12 |
| Health Partners | Medicare Replacement | $91.12 |
| United Healthcare | Medicare Replacement | $91.12 |
| Primewest | Medicare Replacement | $92.82 |
| Security Health Plan | Commercial | $93.50 |
| Blue Cross Blue Shield of North Dakota | Commercial | $115 |
| Health Partners | Commercial | $133 |
| Sanford Health Plan | Group Health/True/SD Exchange True | $134 |
| Medica | Choice | $140 |
| United Healthcare | Commercial | $142 |
| Aetna | Commercial | $148 |
| Blue Cross Blue Shield of Minnesota | Commercial | $149 |
| Ucare | Commercial | $149 |
| Medica | Elect | $150 |
| First Choice Health Network | Commercial | $153 |
| Healthez | Commercial | $153 |
| Multiplan | Commercial | $153 |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $158 |
Inpatient
$136cash price (self-pay)
$170list price
$93.50–$158range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $93.50 |
| Health Partners | Commercial | $133 |
| Sanford Health Plan | Group Health/True/SD Exchange True | $134 |
| Medica | Choice | $140 |
| United Healthcare | Commercial | $142 |
| Aetna | Commercial | $148 |
| Ucare | Commercial | $149 |
| Medica | Elect | $150 |
| First Choice Health Network | Commercial | $153 |
| Healthez | Commercial | $153 |
| Multiplan | Commercial | $153 |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $158 |
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