CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Uchealth Pikes Peak Regional Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $108
Cash Discount Price: $170
vs. Medicare Baseline: 8.07x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Uchealth Pikes Peak Regional Hospital is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 8.07x the Medicare baseline. Located in 16420 W Us Highway 24, Woodland Park, CO.

Cash / Self-Pay

$170

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $170 (1270%)

Insurance Median: $108 (807%)

Cash: $170 (1270% of Medicare)

Ins. Median: $108 (807% 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 807% of the Medicare baseline (a markup of 707%). 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
UnitedHealthcare	$15 - $53	112%
Blue Cross Blue Shield	$52 - $97	388%
Aetna	$53 - $175	396%
Cigna	$53 - $170	396%
Cms	$53	396%
Devoted Health	$53	396%
Humana	$53	396%
Kaiser	$53 - $181	396%
Select Health	$53 - $184	396%
Simplified Benefits Administration	$98 - $108	732%
Kaiser Public Option	$128	956%
Kaiser Kp Select	$153	1143%
Multiplan/Phcs	$168	1255%
First Health	$181	1352%
Rocky Mountain Health Plan	$181	1352%

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 $170.
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 Uchealth Pikes Peak Regional 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.