Comprehensive metabolic panel at Gundersen Lutheran Medical Center. CPT 80053.
What Gundersen Lutheran Medical Center publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$3.16–$161range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $3.16 |
| Anthem | Medicaid | $3.16 |
| Group Health Eau Claire | Medicaid HMO | $3.16 |
| Group Health of South Central | Medicaid HMO | $3.16 |
| Iowa Total Care | Medicaid | $3.16 |
| Managed Health Service | Managed Medicaid | $3.16 |
| Molina Health | Managed Medicaid | $3.16 |
| Quartz | Medicaid_Badgercare | $3.16 |
| UHC | Medicaid | $3.16 |
| ICare | Medicaid HMO | $3.20 |
| Aetna | Medicare Advantage | $10.56 |
| Amerigroup | Medicare Advantage | $10.56 |
| Anthem | Medicare HMO/PPO | $10.56 |
| Bcbsmn | Mhcp | $10.56 |
| BCBSMN | All Products | $10.56 |
| Health Partners | Medicare Advantage | $10.56 |
| iCare | Medicare Advantage | $10.56 |
| Medical Associates | Medicare Advantage | $10.56 |
| Quartz | Medicare Advantage | $10.56 |
| UCARE | Dually Eligible | $10.56 |
| UCARE | Non-Dually Eligible | $10.56 |
| UHC | Medicare Advantage | $10.56 |
| UCARE | MSHO/Minnesota Special Needs | $11.09 |
| Medical Associates | Dialysis Specific | $11.62 |
| Alliance | Premier/All Products | $152 |
| Alliance | Comprehensive/All Products | $161 |
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