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Comprehensive metabolic panel at Orthopaedic Hospital of Wisconsin, LLC. CPT 80053.

What Orthopaedic Hospital of Wisconsin, LLC publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$93.28cash price (self-pay)
$176list price
$10.24–$25.77range insurers pay
Insurance planNegotiated rate
Humana | 7_humana - Commercial Wvn$10.24
Humana | 6_humana - Commercial HMO/POS/Hpn/PPO$11.19
Network Health Plan | 11_network Health Plan - Commercial/Exchange$14.92
Anthem | 4_anthem - High Performance Network$14.96
Anthem | 5_anthem - Pathways$16.14
Anthem | 2_anthem - Blue Preferred/Blue Preferred Plus$17.12
Children'S Community Health Plan | 8_children'S Community Health Plan$18.56
The Alliance | 12_the Alliance - Commercial$18.93
Anthem | 3_anthem - PPO Acess/Blue Traditional$25.77
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All common services at Orthopaedic Hospital of Wisconsin, LLC