CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Dorminy Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $156
Cash Discount Price: $89
vs. Medicare Baseline: 11.65x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Dorminy Medical Center is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 11.65x the Medicare baseline. Located in 200 Perry House Road, Box 1447, Fitzgerald, GA.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$156

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: $89 (665%)

Insurance Median: $156 (1165%)

Cash: $89 (665% of Medicare)

Ins. Median: $156 (1165% 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 1165% of the Medicare baseline (a markup of 1065%). 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	$33 - $35	246%
Healthsmart	$133	993%
Aetna	$142	1060%
Provider Network Of America	$151	1128%
Principal Edge Network	$154	1150%
UnitedHealthcare	$154	1150%
Cigna	$156	1165%
Humana	$156	1165%
Multiplan	$160	1195%
Novanet	$160	1195%
Phcs	$160	1195%
Unicare	$160	1195%
Three Rivers Provider Network	$169	1262%

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 $89.
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 Dorminy 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.