Comprehensive metabolic panel at Gundersen Moundview Hospital and Clinics. CPT 80053.
What Gundersen Moundview Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$60.45cash price (self-pay)
$119list price
$3.16–$115range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $3.16 |
| Anthem | Medicaid | $19.87 |
| Group Health Eau Claire | Medicaid HMO | $19.87 |
| Group Health of South Central | Medicaid HMO | $19.87 |
| Iowa Total Care | Medicaid | $19.87 |
| Managed Health Service | Managed Medicaid | $19.87 |
| Quartz | Medicaid_Badgercare | $19.87 |
| Alliance | Premier/All Products | $40.13 |
| Alliance | Comprehensive/All Products | $40.13 |
| Quartz | All Products | $50.34 |
| Quartz | All Other Self Funded | $52.36 |
| Security Health Plan | Medicare Advantage | $54.74 |
| Anthem | Medicare HMO/PPO | $54.74 |
| Health Partners | Medicare Advantage | $54.74 |
| Quartz | Medicare Advantage | $54.74 |
| Security Health Plan | Medicare + Choice | $54.74 |
| UCARE | Dually Eligible | $54.74 |
| Quartz | Self Funded | $55.93 |
| UCARE | MSHO/Minnesota Special Needs | $57.12 |
| UCARE | Non-Dually Eligible | $57.12 |
| Quartz | Level Funded | $57.72 |
| Health Partners | Medicaid HMO | $59.50 |
| Quartz | Fully Insured | $64.86 |
| Health Partners | Medicare Cost | $71.40 |
| Cigna | All Products | $91.75 |
| Dean Health Plan | ASO | $93.46 |
| Group Health of South Central | All Products | $95.20 |
| Trilogy | All Products | $95.20 |
| UCARE | Qualified Health Plan | $95.20 |
| Aspirus Arise Health | All Products | $98.77 |
Inpatient
$60.45cash price (self-pay)
$119list price
$50.34–$115range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $70.09 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Gundersen Moundview Hospital and Clinics