Comprehensive metabolic panel at HSHS St. Clare Memorial Hospital. CPT 80053.
What HSHS St. Clare Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$119cash price (self-pay)
$180list price
$10.56–$405range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Antehm Medicaid | $10.91 |
| Community Care Family Care | Community Care Family Care Medicaid Manag | $10.91 |
| Continuus Medicaid Managed | Continuus Medicaid Managed | $10.91 |
| Managed Health Services | Managed Health Services Medicaid | $10.91 |
| Meridian Health Plan | Meridian HMO Mcd | $10.91 |
| Molina Healthcare | Molina Medicaid | $11.56 |
| P360 Small Group | Prevea 360 Small Group Commercial Plan | $13.73 |
| Prevea Health Network | Prevea Employees | $13.73 |
| Prevea Health Network | Prevea360 | $13.73 |
| Prevea Health Network | Prevea360 - Network | $13.73 |
| Anthem | Anthem POS/HMO | $36.96 |
| Anthem | Anthem PPO | $36.96 |
| Aetna | Aetna Medicare | $43.20 |
| Anthem | Anthem Medicare Advantage HMO | $43.20 |
| Humana | Humana Medicare Advantage | $43.20 |
| Molina Healthcare | Molina Medicare | $43.20 |
| Security Health Plan | Medicare Advantage Security Health Plan Of Wi | $43.63 |
| Hshs Employees | Hshs Employees | $87.48 |
| Molina Healthcare Of Wi | All Commerical Molina Marketplace | $90.00 |
| Naphcare | All Commerical Naphcare | $97.20 |
| Cigna | All Commercial Cigna | $113 |
| Security Health Plan | All Commercial Security Health Plan Broad Netwo | $115 |
| Triology | All Commercial Triology | $142 |
| Arise Health Plan | All Commercial Arise Health Plan | $144 |
| Health Care Alliance | The Alliance | $151 |
| Choicecare | All Commercial Choice Care | $153 |
| Humana | All Commercial Humana Hpn Choicecare | $153 |
| Humana | Humana Choice Care PPO | $153 |
| Humana | Humana Natiional POS HMO | $153 |
| Health Eos | All Commercial Health Eos | $160 |
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