CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Good Samaritan Medical Center LLC

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $171
Cash Discount Price: Unavailable
vs. Medicare Baseline: 12.77x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Good Samaritan Medical Center LLC is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 12.77x the Medicare baseline. Located in 200 Exempla Cir, Lafayette, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$171

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%)

Insurance Median: $171 (1277%)

Ins. Median: $171 (1277% 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 1277% of the Medicare baseline (a markup of 1177%). 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	$9 - $405	67%
Aarp	$13	97%
Geha	$13 - $235	97%
Kaiser Snp	$13	97%
Select Health	$13	97%
UnitedHealthcare	$13 - $235	97%
Blue Cross Blue Shield	$24 - $341	179%
Denv Hlth Med Plan	$35	261%
Kaiser Perm Hmo	$65 - $171	485%
Kaiser Self Funded	$81 - $171	605%
Kaiser Perm Ppo/Pos	$82 - $176	612%
Allegiance	$88 - $101	657%
Aetna	$131 - $363	978%
Preferred One	$140 - $162	1046%
Humana	$147 - $170	1098%
Cofinity	$253 - $292	1889%
First Health Network	$253 - $292	1889%
Private Hlthcare Sys	$263 - $304	1964%
Multiplan Inc	$298 - $344	2226%

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 $X.
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 Good Samaritan Medical Center LLC 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.