Comprehensive metabolic panel at Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.). CPT 80053.
What Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$78.66cash price (self-pay)
$138list price
$10.56–$74.89range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Replacement | 914_medicare Replacement Outpatient Mewi Sewi 2 | $10.56 |
| Veterans Administration | 916_veterans Administration Outpatient Mewi | $10.56 |
| Anthem Blue Connection | 999_anthem Blue Connection Mewi Sewi 20230401 | $11.09 |
| Anthem HMO POS | 1000_anthem HMO POS Mewi Sewi 20230401 | $11.09 |
| Anthem Pathways | 946_anthem Pathways Mewi Sewi 20230101 | $11.09 |
| Anthem PPO | 1001_anthem PPO Mewi Sewi 20230401 | $11.09 |
| Wellcare | 973_medicare Advantage Wellcare Outpatient 20230101 | $11.09 |
| Smarthealth | 964_smarthealth Outpatient 20230101 | $14.78 |
| Alliance | 885_alliance Mewi Sewi 20221001 | $15.11 |
| Sehn | 895_sehn Mewi Sewi 20221001 | $20.29 |
| Molina Marketplace | 911_molina Marketplace Outpatient Mewi Sewi 20230 | $22.18 |
| Network Health Plan | 938_network Health Plan Mewi Sewi 20230101 | $23.74 |
| Cchp | 931_cchp Mewi Sewi 20230101 | $35.31 |
| Cigna | 1004_cigna 20230701 | $40.76 |
| Centivo Nw1 | 892_centivo Nw1 Mewi Sewi 20221001 | $44.73 |
| Centivo Nw3 | 1013_centivo Nw3 Mewi Sewi 20221001 | $44.73 |
Inpatient
—cash price (self-pay)
—list price
$10.56–$22.18range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Replacement | 959_medicare Replacement Inpatient Mewi Sewi 20 | $10.56 |
| Veterans Administration | 956_veterans Administration Inpatient Mewi S | $10.56 |
| Wellcare | 970_medicare Advantage Wellcare Inpatient 20230512 | $11.09 |
| Smarthealth | 963_smarthealth Inpatient 20231001 | $14.78 |
| Molina Marketplace | 954_molina Marketplace Inpatient Mewi Sewi 202305 | $22.18 |
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All common services at Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)