Comprehensive metabolic panel at Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.). CPT 80053.
What Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$113cash price (self-pay)
$213list price
$10.56–$48.21range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Replacement | 1109_medicare Replacement Outpatient 20220701 | $10.56 |
| Veterans Administration | 1064_veterans Administration Outpatient 2022 | $10.56 |
| Anthem Blue Connection | 1117_anthem Blue Connection 20221001 | $11.09 |
| Humana Wvn | 1135_humana Wvn 20221001 | $14.15 |
| UHC Non Options PPO | 1130_united Health Care Nonoptions 20221001 | $14.57 |
| Cchp Marketplace | 1124_cchp Marketplace 20221001 | $14.68 |
| Network Health Plan | 1136_network Health Plan 20221001 | $17.95 |
| Humana HMO POS | 1127_humana 20221001 | $21.74 |
| Humana PPO | 1133_humana PPO 20221001 | $21.74 |
| Humana Preferred | 1134_humana Preferred 20221001 | $21.74 |
| Molina Health Marketplace | 1060_molina Marketplace Outpatient 2022010 | $23.23 |
| Sehn C89 | 1128_sehn 20221001 | $25.02 |
| Anthem HMO POS | 1120_anthem HMO POS 20221001 | $40.81 |
| Anthem Pathways | 1121_anthem Pathways 20221001 | $40.81 |
| Anthem PPO | 1122_anthem PPO 20221001 | $40.81 |
| Alliance | 1066_alliance 20220101 | $47.03 |
Inpatient
—cash price (self-pay)
—list price
$10.56–$23.23range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Replacement | 1116_medicare Replacement Inpatient 20221001 | $10.56 |
| Veterans Administration | 1114_veterans Administration Inpatient 20221 | $10.56 |
| Molina Health Marketplace | 1111_molina Marketplace Inpatient 20221001 | $23.23 |
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