Basic metabolic panel at Gundersen TriCounty Hospital and Clinics. CPT 80048.
What Gundersen TriCounty Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$43.75cash price (self-pay)
$69.00list price
$3.16–$129range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $3.16 |
| Anthem | Medicaid | $15.54 |
| Group Health Eau Claire | Medicaid HMO | $15.54 |
| Group Health of South Central | Medicaid HMO | $15.54 |
| Iowa Total Care | Medicaid | $15.54 |
| Managed Health Service | Managed Medicaid | $15.54 |
| Quartz | Medicaid_Badgercare | $15.54 |
| Quartz | All Products | $29.19 |
| Quartz | All Other Self Funded | $30.36 |
| Quartz | Self Funded | $32.43 |
| Quartz | Level Funded | $33.47 |
| UCARE | Non-Dually Eligible | $35.88 |
| UCARE | MSHO/Minnesota Special Needs | $35.88 |
| UCARE | Dually Eligible | $35.88 |
| Quartz | Fully Insured | $37.61 |
| Anthem | Medicare HMO/PPO | $40.71 |
| Humana | Medicare Advantage | $40.71 |
| Quartz | Medicare Advantage | $40.71 |
| UHC | Medicare Advantage | $40.71 |
| Anthem | State Specific | $47.64 |
| Anthem | PPO | $47.64 |
| Anthem | HMO/POS | $47.64 |
| UHC | All Payer Appendix | $49.68 |
| Cigna | All Products | $53.20 |
| Group Health of South Central | All Products | $55.20 |
| Trilogy | All Products | $55.20 |
| UCARE | Qualified Health Plan | $55.20 |
| Aspirus Arise Health | All Products | $57.27 |
| Allied National | Core Value Programs | $58.65 |
| Sana | All Products | $59.34 |
Inpatient
$43.75cash price (self-pay)
$69.00list price
$29.19–$65.55range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $40.64 |
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All common services at Gundersen TriCounty Hospital and Clinics