CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Copper Queen Community Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $56
Cash Discount Price: $166
vs. Medicare Baseline: 4.18x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Copper Queen Community Hospital is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $166. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 4.18x the Medicare baseline. Located in 101 Cole Avenue, Bisbee, AZ.

Cash / Self-Pay

$166

Average discount available for prompt cash payment at this facility.

Insurance Median

$56

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: $166 (1240%)

Insurance Median: $56 (418%)

Cash: $166 (1240% of Medicare)

Ins. Median: $56 (418% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 418% of the Medicare baseline (a markup of 318%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Allwell	$32 - $35	239%
Amerigroup	$32 - $35	239%
Azch Complete	$32 - $35	239%
Banner Uc Health	$32 - $35	239%
Humana	$32 - $35	239%
Triwest	$32 - $35	239%
UnitedHealthcare	$35 - $127	261%
Copperpoint	$49 - $54	366%
Bisbee Police	$51 - $56	381%
Aetna	$55 - $195	411%
Health Net Of Az	$55 - $130	411%
Apipa	$74 - $81	553%
Cigna	$128 - $141	956%
Blue Cross Blue Shield	$134 - $148	1001%
Self Pay	$158 - $174	1180%

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 $166.
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 Copper Queen Community 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.