Comprehensive metabolic panel at Gundersen St. Josephs Hospital and Clinic. CPT 80053.

What Gundersen St. Josephs Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.

Outpatient / ER

$58.39cash price (self-pay)

$111list price

$3.16–$106range insurers pay

Insurance plan	Negotiated rate
Amerigroup \| Medicaid HMO	$3.16
Anthem \| Medicaid	$18.10
Dean Health Plan \| Medicaid_Badgercare	$18.10
Group Health Eau Claire \| Medicaid HMO	$18.10
Group Health of South Central \| Medicaid HMO	$18.10
Iowa Total Care \| Medicaid	$18.10
Quartz \| Medicaid_Badgercare	$18.10
Managed Health Service \| Managed Medicaid	$19.87
Quartz \| All Products	$46.95
Quartz \| All Other Self Funded	$48.84
Quartz \| Self Funded	$52.17
Quartz \| Level Funded	$53.84
Anthem \| Medicare HMO/PPO	$56.61
Dean Health Plan \| Medicare Select	$56.61
Humana \| Medicare Advantage	$56.61
Quartz \| Medicare Advantage	$56.61
UCARE \| Dually Eligible	$56.61
UHC \| Medicare Advantage	$56.61
UCARE \| MSHO/Minnesota Special Needs	$57.72
UCARE \| Non-Dually Eligible	$57.72
Quartz \| Fully Insured	$60.50
Dean Health Plan \| All Products	$69.51
UHC \| All Payer Appendix	$77.59
Anthem \| PPO	$80.82
Cigna \| All Products	$85.58
Alliance \| Premier/All Products	$88.80
Group Health of South Central \| All Products	$88.80
Trilogy \| All Products	$88.80
UCARE \| Qualified Health Plan	$88.80
Aspirus Arise Health \| All Products	$92.13

$58.39cash price (self-pay)

$111list price

$46.95–$105range insurers pay

Insurance plan	Negotiated rate
Quartz \| All Other Self Funded	$65.38

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