CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Gunnison Valley Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $38
Cash Discount Price: $74
vs. Medicare Baseline: 2.84x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Gunnison Valley Hospital is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 2.84x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$74

Average discount available for prompt cash payment at this facility.

Insurance Median

$38

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: $74 (553%)

Insurance Median: $38 (284%)

Cash: $74 (553% of Medicare)

Ins. Median: $38 (284% 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 284% of the Medicare baseline (a markup of 184%). 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
Medicaid / KanCare	$10	75%
Medicare (plans)	$19 - $67	142%
Gunnison County Coroner Op Only	$20 - $70	149%
Gunnison County Sheriff Op & Profee Only	$20 - $70	149%
Ebms Hdhp	$23 - $82	172%
Tetwp Op & Profee Only-All Plans	$23 - $82	172%
U Of Co Transplant-All Plans	$23 - $82	172%
Ebms Ppo Plan-All Other Plans	$27 - $95	202%
Gunnison County Employees-All Other Plans	$31 - $109	232%
Scottish Rites-All Plans	$31 - $109	232%
Elap Employers-All Plans	$33 - $116	246%
Blue Cross Blue Shield	$34 - $119	254%
Apostrophe-All Plans	$35 - $122	261%
Multiplan-All Plans	$36 - $126	269%
Aetna	$37 - $131	276%
Cofinity-All Plans	$37 - $131	276%
Rocky Mountain Health-All Plans	$37 - $129	276%
UnitedHealthcare	$37 - $129	276%
Cigna	$38 - $133	284%

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 $74.
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 Gunnison Valley 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.