Comprehensive metabolic panel at Froedtert Menomonee Falls Hospital. CPT 80053.
What Froedtert Menomonee Falls Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$135cash price (self-pay)
$246list price
$10.56–$221range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allwell | Medicare Advantage | $10.56 |
| Anthem Blue Cross Blue Shield | 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 |
| Network Health Plan | Medicare Advantage | $10.56 |
| Security Health Plan | Medicare Advantage | $10.56 |
| United Healthcare | Medicare Advantage | $10.56 |
| Aetna | Medicare Advantage | $10.77 |
| Care Wisconsin/MyChoice | Medicare Advantage | $10.88 |
| Network Health Plan | ACA | $11.40 |
| Network Health Plan | All Contracted Commercial Plans | $12.67 |
| Sheboygan Employers Health Network | All Contracted Commercial Plans | $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 | HMO | $13.73 |
| Anthem Blue Cross Blue Shield (Healthlink) | PPO | $52.80 |
| Centivo | WI 2 Median | $73.80 |
| Centivo | WI 1 Broad | $81.18 |
| UMR | MCW Employees | $81.18 |
| Froedtert South | All Contracted Commercial Plans | $103 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $106 |
| Common Ground | All Contracted Commercial Plans | $148 |
| Health Partners | All Contracted Commercial Plans | $160 |
| Trilogy | All Contracted Commercial Plans | $170 |
| Health Payment Systems | All Contracted Commercial Plans | $171 |
| Aetna | All Contracted Commercial Plans | $172 |
| Aspirus | All Contracted Commercial Plans | $197 |
Inpatient
$135cash price (self-pay)
$246list price
$148–$221range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | All Contracted Commercial Plans | $148 |
| Trilogy | All Contracted Commercial Plans | $170 |
| Health Payment Systems | All Contracted Commercial Plans | $171 |
| Aetna | All Contracted Commercial Plans | $172 |
| Aspirus | All Contracted Commercial Plans | $197 |
| IBSI Passport | All Contracted Commercial Plans | $199 |
| Americas Choice | PPO | $214 |
| Federated Mutual | All Contracted Commercial Plans | $214 |
| HealthEos | All Contracted Commercial Plans | $214 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $214 |
| Savility | All Contracted Commercial Plans | $214 |
| First Health Network | All Contracted Commercial Plans | $216 |
| HealthSmart | All Contracted Commercial Plans | $221 |
| Physicians Plus | HMO | $221 |
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