Comprehensive metabolic panel at Froedtert Community Hospital - Pewaukee. CPT 80053.
What Froedtert Community Hospital - Pewaukee publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$115cash price (self-pay)
$209list price
$10.56–$184range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | Medicare Advantage | $10.56 |
| Care Wisconsin | Medicare Advantage | $10.56 |
| Community Care | Medicare Advantage | $10.56 |
| Health Partners | Medicare Advantage | $10.56 |
| Humana | Medicare Advantage | $10.56 |
| ICare | Medicare Advantage | $10.56 |
| Molina | Medicare Advantage | $10.56 |
| Network Health Plan | Medicare Advantage | $10.56 |
| Security Health Plan Secure Savers | Medicare Advantage | $10.56 |
| United Healthcare | Medicare Advantage | $10.56 |
| Network Health Plan | ACA | $11.40 |
| Network Health Plan | All Contracted Commercial Payers | $12.67 |
| United Healthcare | Choice Plus/Navigate | $12.67 |
| United Healthcare | Nexus | $12.67 |
| United Healthcare | Options PPO | $12.67 |
| Anthem Blue Cross Blue Shield | Blue Preferred/HMO/POS | $13.73 |
| Anthem Blue Cross Blue Shield (Healthlink) | Federal/Out of State/PPO | $21.12 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $83.60 |
| Medical College of Wisconsin | Employee Plan | $83.60 |
| Centivo | WI 2 Median | $89.87 |
| Centivo | WI 1 Broad | $105 |
| Cigna | All Contracted Commercial Plans | $123 |
| Common Ground | All Contracted Commercial Plans | $125 |
| Sheboygan Employers Health Network | All Contracted Commercial Payers | $125 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $125 |
| Health Payment Systems | All Contracted Commercial Plans | $128 |
| Health Partners | All Contracted Commercial Payers | $136 |
| Trilogy | All Contracted Commercial Plans | $136 |
| Americas Choice | PPO | $182 |
| HealthEos | All Contracted Commercial Plans | $182 |
Inpatient
$115cash price (self-pay)
$209list price
$125–$184range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | All Contracted Commercial Plans | $125 |
| Health Payment Systems | All Contracted Commercial Plans | $128 |
| Trilogy | All Contracted Commercial Plans | $136 |
| Americas Choice | PPO | $182 |
| HealthEos | All Contracted Commercial Plans | $182 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $182 |
| First Health Network | All Contracted Commercial Plans | $184 |
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All common services at Froedtert Community Hospital - Pewaukee