Comprehensive metabolic panel at Aspirus Divine Savior Hospital. CPT 80053.
What Aspirus Divine Savior Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$114cash price (self-pay)
$175list price
$10.56–$79.20range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage Esa | $10.56 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | $10.77 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $10.88 |
| Managed Health Services Insurance Corp. | Managed Health Wisconsin Med | $11.09 |
| Wps Health Plan | Wps Statewide Ppo/Pos/Epo Plans | $22.18 |
| Security Health Plan Of Wisconsin, Inc. | Security Administrative Serv | $34.55 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Hmo Pla | $34.55 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Indemni | $34.55 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Pos Pla | $34.55 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Premier | $34.55 |
| The Alliance (F/K/A Employer Health Care Alliance Cooperative) | The A | $41.18 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E | $42.24 |
| Dean Health Plan | Dean Health Plan Commercial Aso Hmo | $71.23 |
| Dean Health Plan | Dean Health Plan Commercial Hmo | $71.23 |
| Dean Health Plan | Dean Health Plan Commercial Pos | $71.23 |
| Dean Health Plan | Dean Health Plan Commercial Ppo | $71.23 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Access Ppo | $71.28 |
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