CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Mercyone Des Moines Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $19
  • Cash Discount Price: $111
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Mercyone Des Moines Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.42x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$111

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $111 (829%)
Insurance Median: $19 (142%)
Cash: $111 (829% of Medicare)
Ins. Median: $19 (142% 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
Aetna $9 - $152 67%
Medicaid / KanCare $9 - $37 67%
Health Partners $11 - $278 82%
Oscar $11 - $19 82%
American Health Plan $12 - $14 90%
Champva $12 90%
Geha $12 - $14 90%
Humana $12 - $19 90%
Tricare $12 90%
Triwest Health Alliance $12 90%
UnitedHealthcare $12 - $437 90%
Us Family Health Plan $12 90%
Veterans Eval Services $12 90%
Align Senior Care $13 97%
Ally Align Care Adv $13 97%
American Health Advantage Of Idaho $13 97%
Aurora Special Needs $13 97%
Bcn Domestic $13 97%
Blue Benefit Administrators Of Massachusetts $13 97%
Blue Care Network $13 97%
Blue Care Network Advantage $13 97%
Blue Cross Blue Shield $13 - $19 97%
Blue Distinction Transplant $13 97%
Blue Shield - Ca $13 97%
Blue Shield - De (Highmark) Medciare Advantage $13 97%
Blue Shield - Id (Regence) $13 97%
Blue Shield - Ny Highmark Northeastern $13 97%
Blue Shield - Ny Highmark Western $13 97%
Blue Shield - Pa (Highmark) $13 97%
Blue Shield - Wa (Regence) $13 97%
Care Dimensions $13 97%
Care Improvement Plus $13 97%
Care Resources Pace $13 97%
Careplus Health Plans $13 97%
Cca - Zing Health $13 97%
Cca Senior Care Options $13 97%
Central Valley Medical Services Corp Pace $13 97%
Champion Health Plan Mcr Advantage $13 97%
Cigna $13 - $262 97%
Clear Spring Health $13 97%
Clover Health $13 97%
Commonwealth Care Alliance $13 97%
Community Pace At Home $13 97%
Eddy Senior Care-Pace $13 97%
Eddy Seniorcare Pace $13 97%
Elementcare $13 97%
Evercare $13 97%
Everence $13 97%
Gateway Health Plan $13 97%
Genesys Pace Of Genesee County $13 97%
Georgia Health Advantage $13 97%
Gold Advantage $13 97%
Gpa Croell Redi Mix $13 97%
Health America Advantra $13 97%
Health Choices $13 - $88 97%
Highmark Health Options Dual Plan $13 97%
Hope Select Pace $13 97%
Horizon Nj Total Care $13 97%
Hudson Headwaters Pace $13 97%
Huron Valley Pace $13 97%
Innovative Integrated Health Community Plans $13 97%
Iowa Total Care $13 - $19 97%
Johns Hopkins Advantage Md $13 97%
Kaiser Domestic $13 97%
Lasso Healthcare Msa $13 97%
Life St Marys Pace $13 97%
Lifecircles Pace $13 97%
Longevity Health Plan $13 97%
Longevity Ipa Of Michigan Llc Health Plan Isnp $13 97%
Martins Point Generations Advantage $13 97%
Mass General Brigham Mcr Adv $13 97%
Medicare (plans) $13 - $14 97%
Medipak Advantage $13 97%
Mercy Life $13 97%
Mercyone Cedar Valley $13 97%
Meridian Complete $13 97%
Michigan Complete Health $13 97%
Nascentia Health Plus $13 97%
New Centry Health Careplus $13 97%
Osu Prime Care Advantage $13 97%
Pace Cny $13 97%
Pace Iowa Immanuel Pathways $13 97%
Pace Of Southwest Michigan $13 - $19 97%
Pace Southeast $13 97%
Pace-Trinity Health $13 97%
Peak Pace Solutions $13 97%
Perennial Advantage $13 97%
Pre-Employment $13 97%
Preferred Care Partners $13 97%
Presbyterian Senior Plan $13 97%
Provider Partners Health Plan Of Illinois $13 97%
Provider Partners Health Plan Of Indiana $13 97%
Pruitthealth Premier $13 97%
Reliance Community Care Partners Care Resources Pace $13 97%
Rx Allwin $13 97%
Rx Grane Grnmedd $13 97%
Rx Retiree Rx Care $13 97%
Scan Health Plan Mcr Ipa Meritage Oon $13 97%
Secure Horizons Ma Pffs $13 97%
Serenity Pace $13 97%
Siouxland Pace $13 97%
Solis Health Plans $13 97%
Stephenson Cty Health $13 97%
Sunnyview-Pace Finance Dept $13 97%
Texan Plus $13 97%
The Health Plan $13 97%
Thome Pace $13 97%
Todays Options $13 97%
Tribute Health Plans $13 97%
Um Health Advantage $13 97%
Union Health Service $13 97%
Veterans Administration $13 97%
Wc Corvel $13 97%
Wc Domestic $13 97%
Welbe Health $13 97%
Wellmed $13 97%
Centivo $14 - $19 105%
Iowa Health Advantage $14 105%
Albany County Correctional Facility $16 - $19 119%
Allied Benefit Systems $16 - $152 119%
Ambetter / Centene $16 - $23 119%
Amish Mennonite $16 - $19 119%
Ascension St. Vincent Public Safety Medical $16 - $19 119%
Auxiant $16 - $284 119%
Bcccp-Michigan $16 - $19 119%
Bccp $16 - $19 119%
Bmc Healthnet $16 - $19 119%
Breast Grant-Connecticut $16 - $19 119%
Broward County Dept Of Health $16 - $19 119%
California Health And Wellness $16 - $19 119%
Can Community Health Inc $16 - $19 119%
Cardinal Innovations Lme $16 - $19 119%
Care Connections Of Northern Iowa $16 - $19 119%
Care Oregon Ohp $16 - $19 119%
Cencal Health Plan $16 - $19 119%
Cenpatico $16 - $19 119%
Chhuny $16 - $19 119%
Childrens Comm Health Plan $16 - $19 119%
Childrens Medical Services Title 19 $16 - $19 119%
City Of Philadelphia $16 - $19 119%
Cmh Allegan County $16 - $19 119%
Cmh Ausable Valley $16 - $19 119%
Cmh Barry County $16 - $19 119%
Cmh Bay-Arenac County $16 - $19 119%
Cmh Berrien County $16 - $19 119%
Cmh Cass County $16 - $19 119%
Cmh Central Mi County $16 - $19 119%
Cmh Clinton-Eaton-Ingham County $16 - $19 119%
Cmh Detroit Wayne Integrated Health Network $16 - $19 119%
Cmh Genesee County $16 - $19 119%
Cmh Ionia County $16 - $19 119%
Cmh Jackson County/Lifeways $16 - $19 119%
Cmh Kalamazoo $16 - $19 119%
Cmh Kent County $16 - $19 119%
Cmh Lenawee County $16 - $19 119%
Cmh Livingston County $16 - $19 119%
Cmh Macomb $16 - $19 119%
Cmh Misc $16 - $19 119%
Cmh Monroe County $16 - $19 119%
Cmh Montcalm County $16 - $19 119%
Cmh Muskegon County $16 - $19 119%
Cmh Newaygo County $16 - $19 119%
Cmh North Country $16 - $19 119%
Cmh Northern Lakes County $16 - $19 119%
Cmh Oakland County $16 - $19 119%
Cmh Ottawa County $16 - $19 119%
Cmh Van Buren County $16 - $19 119%
Cmh Washtenaw County $16 - $19 119%
Cmh Wayne County/Carelink $16 - $19 119%
Cmh Wayne Cty/Com Liv Svcs $16 - $19 119%
Cmh West Mi County $16 - $19 119%
Community Benefit Health $16 - $19 119%
Community Care Behavorial Health $16 - $19 119%
Community Care Partners $16 - $19 119%
Community Health Choice $16 - $19 119%
Connections Csp $16 - $19 119%
County Coroner $16 - $19 119%
County Funding Generic $16 - $19 119%
Covid19 Hrsa Uninsured Testing And Treatment Fund $16 - $19 119%
Dean Wi Badgercare $16 - $19 119%
Delaware County Department Of Health $16 - $19 119%
Delaware First Health $16 - $19 119%
Delta Dental Nj $16 - $19 119%
Dph Tb Program $16 - $19 119%
Dscc $16 - $19 119%
Eastpointe Lme $16 - $19 119%
Family Health Network $16 - $19 119%
First Choice Health $16 119%
Freedom First Healthcare $16 - $19 119%
Fresno County Ccs $16 - $19 119%
Ghc Scw Wi Badgercare $16 - $19 119%
Group Administrators $16 119%
Harbor Health $16 - $19 119%
Health Safety Net $16 - $19 119%
Healthy Blue Ne $16 - $19 119%
Hennepin Health $16 - $19 119%
Id County Ada $16 - $19 119%
Id County Canyon $16 - $19 119%
Id County Cat Fund $16 - $19 119%
Id County Other $16 - $19 119%
Id County Payette $16 - $19 119%
Idaho Dept Health And Wellfare $16 - $19 119%
Idaho Womens Health Check $16 - $19 119%
Indiana Breast Cervical Cancer $16 - $19 119%
Inland Empire Health Plan $16 - $19 119%
Intercommunity Health Ohp $16 - $19 119%
Jai Medical System $16 - $19 119%
Kern Family Health Plan $16 - $19 119%
Keystone First $16 - $19 119%
Keystone First Chip $16 - $19 119%
La Care Health Plan $16 - $19 119%
Lakeland Care Inc $16 - $19 119%
Managed Health Services - Indiana $16 - $19 119%
Maryland Breast & Cervical Program $16 - $19 119%
Maryland Healthy Smiles - Scion Dental $16 - $19 119%
Maryland Physicians Care $16 - $19 119%
Massachusetts Behavioral Health Partnership $16 - $19 119%
Mdwise $16 - $19 119%
Medi-Cal $16 - $19 119%
Medi-Cal Healthnet $16 - $19 119%
Medstar Dc Healthy Family $16 - $19 119%
Medstar Md Health Choice $16 - $19 119%
Midlands $16 - $284 119%
Midlands Choice $16 - $284 119%
Mo Home State Health Plan $16 - $19 119%
Molina Centennial Care $16 - $19 119%
Nascentia Health Options $16 - $19 119%
New York Cancer Services Program $16 - $19 119%
Nextlevel Health $16 - $19 119%
Oregon Screenwise $16 - $19 119%
Paramount Advantage $16 - $19 119%
Parkland Community Health Plan $16 - $19 119%
Partners Behavioral Lme $16 - $19 119%
Peach State Healthplan $16 - $19 119%
Philadelphia County Funding $16 - $19 119%
Preferred One $16 - $19 119%
Presbyterian Centennial Care $16 - $19 119%
Prestige Health Choice $16 - $19 119%
Priority Partners $16 - $19 119%
Robert F Sing Program $16 - $19 119%
Rx 340B Pass Along $16 - $19 119%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $16 - $19 119%
Rx Medi-Cal $16 - $19 119%
Rx Meridian Rx $16 - $19 119%
Ryan White Florida Mssrp $16 - $19 119%
Sandhills Center Lme $16 - $19 119%
Screening For Life $16 - $19 119%
St Joseph County Hlth Dpt $16 - $19 119%
Sunshine State Health Plan $16 - $19 119%
Superior Health $16 - $19 119%
Tenncare $16 - $19 119%
Texas Children'S Health Plan $16 - $19 119%
Trillium Community Ohp $16 - $19 119%
Tufts Health Public Plans $16 - $19 119%
Vaya Health Lme $16 - $19 119%
Washtenaw Health Plan $16 - $19 119%
Wellsense Health Plan $16 - $19 119%
Wi Womens Wellness $16 - $19 119%
Meritain $17 - $152 127%
Wellpoint $17 - $20 127%
Amish Hospital Aid $18 134%
Amps $18 134%
Newton Correctional Facility $18 - $24 134%
Avera $20 149%
Genex Wc $20 - $28 149%
Sanford Health Plan $21 157%
Ucare $21 157%
Medical Associates $22 - $88 164%
Wc Align Network $22 - $29 164%
Wc Praxis Health Network $23 - $31 172%
Wc Reny Company $23 - $32 172%
Wc Velocity $23 - $32 172%
Auto Velocity $24 - $33 179%
Health Smart $24 - $33 179%
Lucent Health $24 - $152 179%
Wc O'Hara Corp $24 - $33 179%
Quiktrip $26 194%
Usa Managed Care $26 - $371 194%
Andrie Inc $27 - $37 202%
Claimdoc $27 - $28 202%
East Greenbush Central School District $27 - $37 202%
Global Excel $27 - $30 202%
Healthsmart Workers Comp $27 - $37 202%
Iowa Dept Of Public Health $27 - $437 202%
Jag Source $27 - $37 202%
Multiplan $27 - $37 202%
Nebraska Total Care $27 - $37 202%
New York State Insurance Fund $27 - $37 202%
Njm Insurance Group $27 - $37 202%
Nova $27 202%
Rx Heatlhcomp $27 - $37 202%
Rx Restat $27 - $37 202%
Rx Saif Opdp Wc $27 - $37 202%
Rx Worker'S Comp $27 - $37 202%
The Alliance $27 - $28 202%
Velocity $27 - $31 202%
Wc Accident Fund $27 - $37 202%
Wc Ace $27 - $37 202%
Wc Acs Federal Employees $27 - $37 202%
Wc Acuity $27 - $37 202%
Wc Advantage $27 - $37 202%
Wc Aegis $27 - $37 202%
Wc Aig $27 - $37 202%
Wc Aims $27 - $37 202%
Wc Alaska National Ins $27 - $37 202%
Wc Allied $27 - $37 202%
Wc Am Trust N America $27 - $37 202%
Wc American Claims Mgmt $27 - $37 202%
Wc Amerisure $27 - $37 202%
Wc Amtrust $27 - $37 202%
Wc Asu Risk Mgt $27 - $37 202%
Wc Benetech $27 - $37 202%
Wc Berkley Admin $27 - $37 202%
Wc Broadspire $27 - $37 202%
Wc Broward County $27 - $37 202%
Wc Bunch & Associates $27 - $37 202%
Wc California State Comp Ins $27 - $37 202%
Wc California State Ins Fund $27 - $37 202%
Wc Capitol Area Health Consortium $27 - $37 202%
Wc Ccmsi $27 - $37 202%
Wc Chartis $27 - $37 202%
Wc Chubb $27 - $37 202%
Wc Cirma $27 - $37 202%
Wc City Of Albany $27 - $37 202%
Wc City Of Sioux City $27 - $37 202%
Wc Claims Mgmt Inc $27 - $37 202%
Wc Cna $27 - $37 202%
Wc Comp One Admin C/O Manageability $27 - $37 202%
Wc Compone Admin $27 - $37 202%
Wc Ct Healthcare Trust $27 - $37 202%
Wc Donegal Insurance Group $27 - $37 202%
Wc Emc Insurance Company $27 - $37 202%
Wc Employee Mutual $27 - $37 202%
Wc Enablecomp $27 - $37 202%
Wc Encore Health Network $27 - $37 202%
Wc Erie $27 - $37 202%
Wc Esis $27 - $37 202%
Wc Evolutions $27 - $37 202%
Wc Fcci $27 - $37 202%
Wc Fed Ex $27 - $37 202%
Wc Federal Black Lung $27 - $37 202%
Wc Federated $27 - $37 202%
Wc Finley Occupational Health $27 - $37 202%
Wc First Agency/Occunet $27 - $37 202%
Wc Ford Motor $27 - $37 202%
Wc Fresno Unified Emp $27 - $37 202%
Wc Gallagher Bassett $27 - $37 202%
Wc General Motors $27 - $37 202%
Wc Generic $27 - $37 202%
Wc Genex Care For Ohio $27 - $37 202%
Wc Great West Casualty $27 - $37 202%
Wc Guarantee Insurance $27 - $37 202%
Wc Guard Insurance Company $27 - $37 202%
Wc Hab $27 - $37 202%
Wc Hartford $27 - $37 202%
Wc Hastings $27 - $37 202%
Wc Health Management $27 - $37 202%
Wc Heritage Summit $27 - $37 202%
Wc Hireright $27 - $37 202%
Wc Horizon $27 - $37 202%
Wc Icw Group $27 - $37 202%
Wc Idaho State Ins Fund $27 - $37 202%
Wc Intercare Insurance $27 - $37 202%
Wc Intermountain $27 - $37 202%
Wc Johns Eastern $27 - $37 202%
Wc Kemberton $27 - $37 202%
Wc Key Ins & Benefit Solutions $27 - $37 202%
Wc Liberty Mutual $27 - $37 202%
Wc Mac Risk Management $27 - $37 202%
Wc Massachusetts $27 - $37 202%
Wc Mdia $27 - $37 202%
Wc Meadowbrook Claim $27 - $37 202%
Wc Medical Administrators $27 - $37 202%
Wc Meijers $27 - $37 202%
Wc Memic $27 - $37 202%
Wc Mercy Workcare $27 - $37 202%
Wc Michigan $27 - $37 202%
Wc Michigan Millers Mutual $27 - $37 202%
Wc Mitchell Frankenmuth $27 - $37 202%
Wc Mra $27 - $37 202%
Wc Nationwide $27 - $37 202%
Wc Nca Comp $27 - $37 202%
Wc New York $27 - $37 202%
Wc New York Special Funds $27 - $37 202%
Wc North American Rishces $27 - $37 202%
Wc Northeast Health $27 - $37 202%
Wc Notre Dame $27 - $37 202%
Wc Novanet $27 - $37 202%
Wc Occ Health Allen $27 - $37 202%
Wc Ohio Bureau $27 - $37 202%
Wc One Call Medical $27 - $37 202%
Wc Paradigm $27 - $37 202%
Wc Peerless $27 - $37 202%
Wc Pma $27 - $37 202%
Wc Price Chopper $27 - $37 202%
Wc Procura Management $27 - $37 202%
Wc Qualcare $27 - $37 202%
Wc Quiktrip $27 - $37 202%
Wc Rev Claims $27 - $37 202%
Wc Risico $27 - $37 202%
Wc Rural Mutual $27 - $37 202%
Wc Saif Oregon $27 - $37 202%
Wc Secura $27 - $37 202%
Wc Sedgwick $27 - $37 202%
Wc Sentry $27 - $37 202%
Wc Sheakley Unicomp $27 - $37 202%
Wc Smile Lodge $27 - $37 202%
Wc Society $27 - $37 202%
Wc Srs $27 - $37 202%
Wc Taconic (Mro) $27 - $37 202%
Wc Taconic Farms $27 - $37 202%
Wc Travelers $27 - $37 202%
Wc Triad Group $27 - $37 202%
Wc Tristar $27 - $37 202%
Wc Troy Ny $27 - $37 202%
Wc Tyson $27 - $37 202%
Wc Unified Health Services $27 - $37 202%
Wc United Heartland $27 - $37 202%
Wc Us Dept Of Labor $27 - $37 202%
Wc Walmart $27 - $37 202%
Wc West Bend $27 - $37 202%
Wc West Bend Mutual/Argent $27 - $37 202%
Wc Winnebago Industries $27 - $37 202%
Wc Yankee Trails $27 - $37 202%
Wc York Risk $27 - $37 202%
Wc Zenith $27 - $37 202%
Wc Zurich $27 - $37 202%
1199 National Benefit Fund $99 - $152 739%
Asr Health Benefits $99 - $152 739%
Christian Brother Services $99 - $152 739%
Coventry $99 - $152 739%
First Health $99 - $152 739%
Luminare Health $99 - $152 739%
Medical Mutual $99 - $152 739%
Trustmark Small Business Benefits $99 - $152 739%
Webtpa $99 - $152 739%
Medica $186 - $284 1389%
Crime Victim Assistance $286 - $437 2136%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 6Th Ave, Des Moines, IA 50314
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals