Comprehensive metabolic panel at Ogallala Community Hospital. CPT 80053.
What Ogallala Community Hospital publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$83.98cash price (self-pay)
$137list price
$60.28–$133range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Banner Health | Banner Choice Plus/Banner Select | $60.28 |
| Blue Cross Blue Shield of Wyoming | Medicare Advantage | $60.28 |
| Medica | Medicare Advantage | $60.28 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $60.28 |
| United Healthcare | UHC Medicare Advantage | $63.02 |
| United Healthcare | VA Community Care | $63.02 |
| Molina Healthcare | Medicaid/CHIP | $67.13 |
| Nebraska Total Care | Medicaid | $67.13 |
| United Healthcare | Nebraska Medicaid/CHIP | $67.13 |
| Keith County Sheriff’s Office | Imate/Detainee Plan | $103 |
| Blue Cross Blue Shield of Wyoming | Network Blue | $121 |
| Apostrophe, Inc. | Commercial | $123 |
| United Healthcare | Commercial/Individual Exchange | $130 |
| Medica | Commercial | $131 |
| First Health | Medical Rental | $132 |
| Coventry | Commercial | $132 |
| Coventry | Workers Comp | $132 |
| Midlands Choice | Commercial | $132 |
| Multiplan | Commercial | $133 |
Inpatient
$83.98cash price (self-pay)
$137list price
$103–$133range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Keith County Sheriff’s Office | Imate/Detainee Plan | $103 |
| Apostrophe, Inc. | Commercial | $123 |
| United Healthcare | Commercial/Individual Exchange | $130 |
| First Health | Medical Rental | $132 |
| Blue Cross Blue Shield of Wyoming | Network Blue | $132 |
| Coventry | Commercial | $132 |
| Coventry | Workers Comp | $132 |
| Midlands Choice | Commercial | $132 |
| Multiplan | Commercial | $133 |
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