Comprehensive metabolic panel at CHI Health Midlands. CPT 80053.

What CHI Health Midlands publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$205cash price (self-pay)

$488list price

$10.23–$415range insurers pay

Insurance plan	Negotiated rate
Amerigroup \| Medicaid\|All Plans	$10.23
Centene \| Medicaid\|IA Total Care	$10.23
IAMolina \| Medicaid\|All Plans	$10.43
BCBS - NE \| Medicare\|All Plans	$10.56
Humana \| Medicare\|All Plans	$10.56
Medica \| Medicare\|All Plans	$10.56
PACE \| Medicare\|All Plans	$10.56
United \| Medicare\|All Plans	$10.56
Todays Options \| Medicare\|All Plans	$10.77
Centene \| Medicare\|All Plans	$10.88
Amerigroup \| Medicare\|All Plans	$11.09
Great Plains \| Medicare\|All Plans	$11.09
Medica \| Commercial\|ACO	$20.18
Medica \| Commercial\|CHI Health	$21.71
Medica \| Commercial\|All Other Plans	$22.74
AMPS \| Commercial\|All Plans	$23.44
Creighton University Employees \| Commercial\|All Plans	$34.05
United \| Commercial\|All Plans	$44.43
Greater Omaha Packing \| Commercial\|Narrow Network	$72.24
Millard Public Schools \| Commercial\|Narrow Network	$72.24
One World \| Commercial\|Narrow Network	$72.24
Greater Omaha Packing \| Commercial\|Broad Network	$83.08
Millard Public Schools \| Commercial\|Broad Network	$83.08
One World \| Commercial\|Broad Network	$83.08
Timpte \| Commercial\|Broad Network	$83.08
Centene \| Medicaid\|NE Total Care	$87.84
United \| Medicaid\|Community Plan	$87.84
ELAP \| Commercial\|All Plans	$137
Medica \| Commercial\|Open Access	$254
Midlands Choice \| Commercial\|Premier	$254

$205cash price (self-pay)

$488list price

$293–$415range insurers pay

Insurance plan	Negotiated rate
QuikTrip \| Commercial\|All Plans	$293
PHCS \| Commercial\|All Plans	$346
MultiPlan \| Commercial\|All Plans	$415

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