CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Sky Ridge Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $35
Cash Discount Price: $1,792
vs. Medicare Baseline: 2.61x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Sky Ridge Medical Center is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,792. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 2.61x the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.

Cash / Self-Pay

$1,792

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

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: $1,792 (13383%)

Insurance Median: $35 (261%)

Cash: $1,792 (13383% of Medicare)

Ins. Median: $35 (261% 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 261% of the Medicare baseline (a markup of 161%). 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
Cigna	$8 - $1,147	60%
Aetna	$13 - $946	97%
Blue Cross Blue Shield	$13 - $1,326	97%
Bright Health	$13 - $538	97%
Devoted Health	$13	97%
Humana	$13	97%
Mutual Of Omaha	$13	97%
Rocky Mountain Health	$13	97%
Rocky Mountain Health Plan	$13	97%
Total Longterm Care	$13	97%
Triwest Health Alliance	$13	97%
United	$13 - $807	97%
Delaware Life Insurance	$14	105%
Innovage Pace	$14	105%
Kaiser	$14 - $636	105%
Wellcare	$14	105%
Pinnacol Workers Comp	$37	276%
Multiplan	$38 - $1,613	284%
Vail Health	$272	2031%
Western Plains Community Health	$1,165	8701%
Northcare	$1,255	9373%
Physician Health Partners	$1,255	9373%
Medical Development International	$1,434	10709%
Prime Health	$1,613	12046%

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 $1,792.
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 Sky Ridge Medical Center 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.