CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Tidalhealth Nanticoke, Inc.
Billing Code: 80061 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$34
about 2.6× the $13 Medicare rate · typically $17–$40
modeled estimate · not a bill or quote
Medicare pays $13 Fair price $34 Cash price $170 Hospital's list price $170
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $134 | 1001% |
| Blue Cross Blue Shieldmajor | $36 | 269% |
| Aetnamajor | $15 | 112% |
| Cignamajor | $121 | 904% |
| AmeriHealth | $13 | 97% |
| + 2 smaller / regional plans | $39 |
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Other Procedures at Tidalhealth Nanticoke, Inc.
Compare: Blood test, cholesterol (lipid panel) at other DE hospitals
- PAM Rehabilitation Hospital of Dover · Dover $13
- PAM Health Rehabilitation Hospital of Georgetown · Georgetown $13
- Christiana Hospital · Newark $15
- Nemours Children's Hospital, Delaware · Wilmington $19
- Bayhealth Medical Center, Kent Campus · Dover $20
- Bayhealth Hospital, Sussex Campus · Milford $20
Insurance negotiated median for the same procedure, sorted lowest first.