Comprehensive metabolic panel at SSM Health St. Clare Hospital - Baraboo. CPT 80053.
What SSM Health St. Clare Hospital - Baraboo publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$228cash price (self-pay)
$415list price
$7.92–$142range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Medicare Managed Care Plan | $7.92 |
| Dean Health Plan | Medicare Managed Care Plan | $10.56 |
| Centivo | Broad(WI1) Other Commercial Plan | $13.20 |
| Centivo | Broad(WI2) Other Commercial Plan | $13.20 |
| Centivo | Broad(WI3) Other Commercial Plan | $13.20 |
| The Alliance | All Commercial Plans | $18.48 |
| BCBS | Blue Preferred/Blue Preferred Plus HMO/POS | $105 |
| BCBS | Blue Access PPO | $142 |
| BCBS | Blue Traditional Traditional | $142 |
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All common services at SSM Health St. Clare Hospital - Baraboo