CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Buena Vista Regional Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $20
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Buena Vista Regional Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.49x the Medicare baseline. Located in 1525 West 5Th Street, Storm Lake, IA.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $18 (134%)
Insurance Median: $20 (149%)
Cash: $18 (134% of Medicare)
Ins. Median: $20 (149% 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
Ambetter / Centene $11 - $23 82%
Blue Cross Blue Shield $11 - $23 82%
Champus $11 - $12 82%
Champva $11 - $12 82%
Health Partners $11 - $23 82%
Medicare (plans) $11 - $23 82%
UnitedHealthcare $11 - $23 82%
Wellcare $11 - $23 82%
American Postal Workers $17 - $18 127%
Avera $18 - $20 134%
Cigna $19 - $21 142%
Aetna $20 - $23 149%
First Administrators $20 - $22 149%
Golden Rule $20 - $22 149%
Great West $20 - $22 149%
Healthscope $20 - $22 149%
Medical Associates $20 - $22 149%
Meritain $20 - $22 149%
Midlands Choice $20 - $22 149%
Humana $21 - $23 157%
Iowa Health Advantage $21 - $23 157%
Wellpoint $21 - $23 157%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1525 West 5Th Street, Storm Lake, IA 50588
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals