Basic metabolic panel at HSHS St. Clare Memorial Hospital. CPT 80048.
What HSHS St. Clare Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$85.80cash price (self-pay)
$160list price
$8.46–$190range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Antehm Medicaid | $8.74 |
| Community Care Family Care | Community Care Family Care Medicaid Manag | $8.74 |
| Continuus Medicaid Managed | Continuus Medicaid Managed | $8.74 |
| Managed Health Services | Managed Health Services Medicaid | $8.74 |
| Meridian Health Plan | Meridian HMO Mcd | $8.74 |
| Molina Healthcare | Molina Medicaid | $9.26 |
| P360 Small Group | Prevea 360 Small Group Commercial Plan | $11.00 |
| Prevea Health Network | Prevea Employees | $11.00 |
| Prevea Health Network | Prevea360 | $11.00 |
| Prevea Health Network | Prevea360 - Network | $11.00 |
| Anthem | Anthem POS/HMO | $29.61 |
| Anthem | Anthem PPO | $29.61 |
| Aetna | Aetna Medicare | $38.40 |
| Anthem | Anthem Medicare Advantage HMO | $38.40 |
| Humana | Humana Medicare Advantage | $38.40 |
| Molina Healthcare | Molina Medicare | $38.40 |
| Security Health Plan | Medicare Advantage Security Health Plan Of Wi | $38.79 |
| Hshs Employees | Hshs Employees | $77.76 |
| Molina Healthcare Of Wi | All Commerical Molina Marketplace | $80.00 |
| Naphcare | All Commerical Naphcare | $86.40 |
| Cigna | All Commercial Cigna | $100 |
| Security Health Plan | All Commercial Security Health Plan Broad Netwo | $102 |
| Triology | All Commercial Triology | $126 |
| Arise Health Plan | All Commercial Arise Health Plan | $128 |
| Health Care Alliance | The Alliance | $134 |
| Choicecare | All Commercial Choice Care | $136 |
| Humana | All Commercial Humana Hpn Choicecare | $136 |
| Humana | Humana Choice Care PPO | $136 |
| Humana | Humana Natiional POS HMO | $136 |
| Health Eos | All Commercial Health Eos | $142 |
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