CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Lawrence Memorial Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $21
Cash Discount Price: $23
vs. Medicare Baseline: 1.57x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Lawrence Memorial Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.57x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.

Cash / Self-Pay

$23

Average discount available for prompt cash payment at this facility.

Insurance Median

$21

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13.39 (100%)

Cash / Self-Pay: $23 (172%)

Insurance Median: $21 (157%)

Cash: $23 (172% of Medicare)

Ins. Median: $21 (157% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13.39 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$2 - $22	15%
Ambetter / Centene	$13 - $28	97%
Amerigroup	$13 - $22	97%
Cigna	$13 - $22	97%
Humana	$13 - $22	97%
Allwell	$14 - $23	105%
Wellcare	$14 - $38	105%
Qualchoice	$15 - $28	112%
Arkansas Total Care	$18	134%
Caresource	$19 - $42	142%
Empower Healthcare Solutions	$19	142%
Arkansas Superior Select	$21	157%
Provider Partners Health Plans	$21	157%
Wellcare By Allwell	$21	157%
Wellcare Health Plans	$21	157%
Qualchoice Of Arkansas	$26	194%
Aetna	$30	224%
Assured Benefits Administrators	$32	239%
Healthlink	$35	261%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $23.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80061.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lawrence Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80061.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.