CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Tift Regional Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $13
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Tift Regional Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 0.97x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.
Cash / Self-Pay
$37

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $37 (276%)
Insurance Median: $13 (97%)
Cash: $37 (276% of Medicare)
Ins. Median: $13 (97% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $2 - $356 15%
Humana $2 - $178 15%
Self Pay 50 $2 - $178 15%
Va Contract $3 - $10 22%
Aetna $4 - $308 30%
Caresource Marketplace Exchange $4 - $20 30%
Cigna $4 - $325 30%
Clover Health $4 - $13 30%
Health One Alliance $4 - $19 30%
Hospice $4 - $13 30%
Medicare (plans) $4 - $13 30%
Misc Commercial Insurance Plans $4 - $320 30%
Misc Non Contracted Commercial Plans $4 - $356 30%
Self Pay $4 - $320 30%
Tricare $4 - $12 30%
UnitedHealthcare $4 - $301 30%
Wellcare $4 - $20 30%
Zelis Network Solutions $4 - $27 30%
Pruitt Health Premier $5 - $14 37%
Peach State Health Plan $9 67%
Amerigroup $17 127%
Medicaid / KanCare $17 127%
Peachstate $18 134%
Caresource $21 157%
Ga Workers Comp $23 172%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 E 18Th Street, Tifton, GA 31794
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals