Blood test, cholesterol (lipid panel)
Facility: Saint Mary's Hospital
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $28
- Cash Discount Price: $50
- vs. Medicare Baseline: 2.09x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 209% of the Medicare baseline (a markup of 109%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $12 - $15 | 90% |
| Geha | $13 | 97% |
| Harvard Pilgrim Healthcare | $13 | 97% |
| Connecticut Dept of Correction | $13 | 97% |
| Aetna | $13 - $24 | 97% |
| Medicare (plans) | $13 - $14 | 97% |
| UnitedHealthcare | $13 - $92 | 97% |
| Cca Senior Care Options | $13 | 97% |
| Cigna | $14 - $74 | 105% |
| Blue Shield - PA (Highmark) | $15 | 112% |
| Kaiser Domestic | $15 | 112% |
| Blue Shield - Wa (Regence) | $15 | 112% |
| Blue Shield - Ny Highmark Western | $15 | 112% |
| Unicare | $15 | 112% |
| Blue Benefit Administrators of Massachusetts | $15 | 112% |
| Pre-Employment | $15 | 112% |
| Blue Shield - Id (Regence) | $15 | 112% |
| Connecticare | $15 | 112% |
| Bcn Domestic | $15 | 112% |
| Blue Shield - Ny Highmark Northeastern | $15 | 112% |
| Wc Domestic | $15 | 112% |
| Blue Shield - Ca | $15 | 112% |
| Blue Distinction Transplant | $15 | 112% |
| Wellpoint | $15 | 112% |
| Health Choices | $15 | 112% |
| Blue Care Network | $15 | 112% |
| Centivo | $17 | 127% |
| Meritain | $24 | 179% |
| Nippon Life Ins | $24 | 179% |
| Hap | $24 | 179% |
| Luminare Health | $24 | 179% |
| Webtpa | $24 | 179% |
| Allied Benefit Systems | $24 | 179% |
| Gravie Admin Services | $24 | 179% |
| 1199 National Benefit Fund | $24 | 179% |
| Magnacare | $26 | 194% |
| Health Partners | $26 | 194% |
| Allegiance | $26 | 194% |
| Innovative Health Plan II | $28 | 209% |
| Diversified Administrators | $28 | 209% |
| Claimdoc | $28 | 209% |
| Carelon Behavioral Health | $45 - $46 | 336% |
| Health New England | $48 - $49 | 358% |
| Medi Share | $69 - $71 | 515% |
| Christian Care Ministry | $69 - $71 | 515% |
| Dean Health | $69 - $71 | 515% |
| Fallon Health | $69 - $71 | 515% |
| Mvp | $69 - $71 | 515% |
| Lifetime Benefit Solutions | $69 - $71 | 515% |
| Multiplan | $69 - $71 | 515% |
| International Benefit Administrators | $69 - $71 | 515% |
| Pai | $69 - $71 | 515% |
| PHCS | $69 - $71 | 515% |
| Paramount HMO | $69 - $71 | 515% |
| Pan-American Life | $69 - $71 | 515% |
| Manhattan Life | $69 - $71 | 515% |
| Trinity Health Share | $69 - $71 | 515% |
| Ghc Scw | $69 - $71 | 515% |
| Allied National Global Care | $69 - $71 | 515% |
| Family Life Insurance Company | $69 - $71 | 515% |
| Asrm - Reliance Standard Life Insurance | $69 - $71 | 515% |
| Prime Health Services | $72 - $74 | 538% |
| Health Smart | $76 - $78 | 568% |
| United Behavioral Health Eap | $90 - $92 | 672% |