CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Atrium Health Floyd Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $186
Cash Discount Price: $342
vs. Medicare Baseline: 13.89x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Atrium Health Floyd Medical Center is $186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $342. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 13.89x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$342

Average discount available for prompt cash payment at this facility.

Insurance Median

$186

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: $342 (2554%)

Insurance Median: $186 (1389%)

Cash: $342 (2554% of Medicare)

Ins. Median: $186 (1389% 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 1389% of the Medicare baseline (a markup of 1289%). 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
Blue Cross Blue Shield	$13 - $512	97%
Caresource	$13 - $117	97%
Cigna	$13 - $410	97%
Georgia Assurance	$13	97%
Humana	$13 - $444	97%
Occunet	$13	97%
UnitedHealthcare	$13 - $512	97%
Aetna	$14 - $464	105%
Clover	$14	105%
Wellcare	$14	105%
Peach State Health Plan	$17	127%
Alliant Health Plans	$20 - $273	149%
Ambetter / Centene	$20	149%
Amerigroup	$116	866%
Awc Networks	$133	993%
Oscar Health Plan	$133 - $239	993%
Beacon	$342	2554%
Evernorth	$342	2554%
Multiplan	$478	3570%
Beech Street	$533	3981%
Private Health Care Systems	$581	4339%

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 $342.
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 Atrium Health Floyd Medical Center 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.