Comprehensive metabolic panel at Platte County Hospital. CPT 80053.
What Platte County Hospital publishes for this service, straight from its standard-charges file, last updated September 21, 2026.
Outpatient / ER
$21.28cash price (self-pay)
$32.00list price
$15.36–$31.36range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Banner Health | Banner Choice Plus/Banner Select | $15.36 |
| Humana | Medicare Advantage | $15.36 |
| Medica | Medicare Advantage | $15.36 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $15.36 |
| United Healthcare | Medicare Advantage | $15.36 |
| United Healthcare | Nebraska Medicaid/CHIP | $15.36 |
| InterWest Health | Medicare Advantage | $15.67 |
| Prime Health Services | Medicare Advantage | $15.67 |
| WyoBlue Advantage | Medicare Advantage (PPO) | $15.67 |
| Platte County Detention Center | Platte County Detention Plan | $25.60 |
| Blue Cross Blue Shield of Wyoming | Institutional | $29.70 |
| United Healthcare | Commercial | $30.27 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $30.28 |
| First Choice Health Network | Commerical | $30.40 |
| Hue Health, Inc | Commercial | $30.40 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $30.40 |
| Medica | Commercial | $30.46 |
| Coventry | Commercial | $30.72 |
| Coventry | Workers Comp | $30.72 |
| First Health | Medical Rental | $30.72 |
| Midlands Choice | Commercial | $30.72 |
| InterWest Health | Auto & General Liability | $31.04 |
| InterWest Health | Group Health | $31.04 |
| Multiplan | Commercial | $31.04 |
| Prime Health Services | Auto & General Liability | $31.04 |
| Prime Health Services | Group Health | $31.04 |
| InterWest Health | Workers' Comp | $31.36 |
| Prime Health Services | Worker's Comp | $31.36 |
Inpatient
$21.28cash price (self-pay)
$32.00list price
$25.60–$31.36range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Platte County Detention Center | Platte County Detention Plan | $25.60 |
| Blue Cross Blue Shield of Wyoming | Institutional | $29.70 |
| United Healthcare | Commercial | $30.27 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $30.28 |
| First Choice Health Network | Commerical | $30.40 |
| Hue Health, Inc | Commercial | $30.40 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $30.40 |
| Coventry | Commercial | $30.72 |
| Coventry | Workers Comp | $30.72 |
| First Health | Medical Rental | $30.72 |
| Midlands Choice | Commercial | $30.72 |
| InterWest Health | Auto & General Liability | $31.04 |
| InterWest Health | Group Health | $31.04 |
| Multiplan | Commercial | $31.04 |
| Prime Health Services | Auto & General Liability | $31.04 |
| Prime Health Services | Group Health | $31.04 |
| InterWest Health | Workers' Comp | $31.36 |
| Prime Health Services | Worker's Comp | $31.36 |
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