Comprehensive metabolic panel at Jefferson Community Health Center. CPT 80053.
What Jefferson Community Health Center publishes for this service, straight from its standard-charges file, last updated July 9, 2026.
Outpatient / ER
—cash price (self-pay)
$196list price
$98.00–$188range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Nebraska Total Care | Medicaid MCO | $98.00 |
| United Healthcare Medicaid | Medicaid MCO | $98.00 |
| Molina | Medicaid MCO | $98.00 |
| Aetna Medicare Advantage | Medicare Advantage | $116 |
| United Healthcare Medicare Advantage | Medicare Advantage | $116 |
| Blue Cross Medicare Advantage | Medicare Advantage | $116 |
| Blue Cross HIX | Health Exchange | $131 |
| Blue Cross HMO/PPO | HMO/PPO | $138 |
| United Healthcare HMO/PPO | HMO/PPO | $186 |
| Aetna HMO/PPO | HMO/PPO | $188 |
| Midlands Choice | HMO/PPO | $188 |
Inpatient
—cash price (self-pay)
$196list price
$177–$188range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross HIX | Health Exchange | $177 |
| Blue Cross HMO/PPO | HMO/PPO | $186 |
| United Healthcare HMO/PPO | HMO/PPO | $186 |
| Aetna HMO/PPO | HMO/PPO | $188 |
| Midlands Choice | HMO/PPO | $188 |
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