Comprehensive metabolic panel at CHI Health St. Mary's. CPT 80053.

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

Outpatient / ER

$29.05cash price (self-pay)

$103list price

$7.50–$163range insurers pay

Insurance plan	Negotiated rate
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
Centene \| Medicare\|All Plans	$10.77
Amerigroup \| Medicare\|All Plans	$11.09
Great Plains \| Medicare\|All Plans	$11.09
Amerigroup \| Medicaid\|All Plans	$21.96
IAMolina \| Medicaid\|All Plans	$22.39
AMPS \| Commercial\|All Plans	$23.44
Centene \| Medicaid\|NE Total Care	$42.02
United \| Medicaid\|Community Plan	$42.02
BCBS - NE \| Commercial\|BluePrint	$54.86
BCBS - NE \| Commercial\|All Other Plans	$57.75
Medica \| Commercial\|All Other Plans	$93.27
Medica \| Commercial\|CHI Health	$93.27
MultiPlan PHCS \| Commercial\|All Plans	$97.38
Greater Omaha Packing \| Commercial\|Broad Network	$98.40
Greater Omaha Packing \| Commercial\|Narrow Network	$98.40
Medica \| Commercial\|ACO	$98.40
Medica \| Commercial\|Open Access	$98.40
Midlands Choice \| Commercial\|Premier	$98.40
Midlands Choice \| Commercial\|Standard	$98.40
Millard Public Schools \| Commercial\|Broad Network	$98.40
Millard Public Schools \| Commercial\|Narrow Network	$98.40
One World \| Commercial\|Broad Network	$98.40
One World \| Commercial\|Narrow Network	$98.40
Timpte \| Commercial\|Broad Network	$98.40
United \| Commercial\|All Plans	$98.40

$29.05cash price (self-pay)

$103list price

$31.59–$163range insurers pay

Insurance plan	Negotiated rate
BCBS - NE \| Commercial\|BluePrint	$92.51
Medica \| Commercial\|All Other Plans	$93.27
Medica \| Commercial\|CHI Health	$93.27
BCBS - NE \| Commercial\|All Other Plans	$97.38
MultiPlan PHCS \| Commercial\|All Plans	$97.38
Greater Omaha Packing \| Commercial\|Broad Network	$98.40
Greater Omaha Packing \| Commercial\|Narrow Network	$98.40
Medica \| Commercial\|ACO	$98.40
Medica \| Commercial\|Open Access	$98.40
Midlands Choice \| Commercial\|Premier	$98.40
Midlands Choice \| Commercial\|Standard	$98.40
Millard Public Schools \| Commercial\|Broad Network	$98.40
Millard Public Schools \| Commercial\|Narrow Network	$98.40
One World \| Commercial\|Broad Network	$98.40
One World \| Commercial\|Narrow Network	$98.40
Timpte \| Commercial\|Broad Network	$98.40
United \| Commercial\|All Plans	$98.40

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