CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Portneuf Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $118
Cash Discount Price: $83
vs. Medicare Baseline: 8.81x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Portneuf Medical Center is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 8.81x the Medicare baseline. Located in 777 Hospital Way, Pocatello, ID.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$118

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: $83 (620%)

Insurance Median: $118 (881%)

Cash: $83 (620% of Medicare)

Ins. Median: $118 (881% 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 881% of the Medicare baseline (a markup of 781%). 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
Aetna	$29 - $118	217%
Healthscope Benefits [2290]	$29	217%
UnitedHealthcare	$29 - $125	217%
Black Lung [6055]	$57	426%
Employee Benefit Management Services [2445]	$57 - $83	426%
Healthcare Highways [2210]	$57 - $132	426%
Lucent Health [6000]	$57	426%
Moda Health [6100]	$57	426%
Oncology Patient Assistance Programs [2295]	$57	426%
Pending Ssi [1616]	$57	426%
Web Tpa [2115]	$57	426%
Pacific Source Health Plans [2850]	$80	597%
Liberty Health Share Lhs/Medcost Solutions Llc [2400]	$83	620%
Multiplan [1680]	$93 - $132	695%
Worker'S Comp [2125]	$101 - $104	754%
Cigna	$102	762%
Enablecomp [1350]	$104	777%
Transamerican Life [1990]	$104	777%
First Health [1375]	$115	859%
Mailhandlers [1595]	$118	881%
Selecthealth [3740]	$118 - $125	881%
Geha [1415]	$125	934%
Humana	$125	934%
Administrative Concepts [1005]	$132	986%
Healthfirst [2395]	$132	986%
Healthnet [1495]	$132	986%
Hometown Health [2155]	$132	986%
Mayo Clinic Health Solutions [2280]	$132	986%
Meritain Health [1655]	$132	986%
Mutual Of Omaha [1685]	$132	986%
National Association Of Letter Carriers [1695]	$132	986%
New Era Life Insurance Company [1705]	$132	986%
Pan American Life Insurance Co [1770]	$132	986%
Pba [1775]	$132	986%
Phcs [1780]	$132	986%
Planned Administrators Inc [2360]	$132	986%
Trustmark [2030]	$132	986%
Ut Id Teamsters [3760]	$132	986%

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 $83.
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 Portneuf 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.