Comprehensive metabolic panel at CHI Health St. Elizabeth. CPT 80053.

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

Outpatient / ER

$235cash price (self-pay)

$470list price

$10.23–$400range 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
Great Plains \| Medicare\|All Plans	$10.56
Humana \| Medicare\|All Plans	$10.56
Medica \| Medicare\|All Plans	$10.56
United \| Medicare\|All Plans	$10.56
Centene \| Medicare\|All Plans	$10.88
Amerigroup \| Medicare\|All Plans	$11.09
United \| Commercial\|All Plans	$13.47
Creighton University Employees \| Commercial\|All Plans	$14.08
Medica \| Commercial\|ACO	$20.18
Medica \| Commercial\|CHI Health	$21.71
Medica \| Commercial\|All Other Plans	$22.74
AMPS \| Commercial\|All Plans	$23.44
Greater Omaha Packing \| Commercial\|Narrow Network	$85.54
Millard Public Schools \| Commercial\|Narrow Network	$85.54
One World \| Commercial\|Narrow Network	$85.54
Greater Omaha Packing \| Commercial\|Broad Network	$98.38
Millard Public Schools \| Commercial\|Broad Network	$98.38
One World \| Commercial\|Broad Network	$98.38
Timpte \| Commercial\|Broad Network	$98.38
United \| Medicaid\|Community Plan	$108
Centene \| Medicaid\|NE Total Care	$109
ELAP \| Commercial\|All Plans	$268
Medica \| Commercial\|Open Access	$291
Midlands Choice \| Commercial\|Premier	$291
Midlands Choice \| Commercial\|Standard	$324
MultiPlan PHCS \| Commercial\|All Plans	$400

$235cash price (self-pay)

$470list price

$291–$376range insurers pay

Insurance plan	Negotiated rate
Medica \| Commercial\|Open Access	$291
Midlands Choice \| Commercial\|Premier	$291
MultiPlan PHCS \| Commercial\|All Plans	$376

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