CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Community Hospital of Staunton

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $222
Cash Discount Price: $148
vs. Medicare Baseline: 16.58x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Community Hospital of Staunton is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $148. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 16.58x the Medicare baseline. Located in 400 N Caldwell St, Staunton, IL.

Cash / Self-Pay

$148

Average discount available for prompt cash payment at this facility.

Insurance Median

$222

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: $148 (1105%)

Insurance Median: $222 (1658%)

Cash: $148 (1105% of Medicare)

Ins. Median: $222 (1658% 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 1658% of the Medicare baseline (a markup of 1558%). 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
Medicare (plans)	$13 - $89	97%
Tricare	$13 - $85	97%
Clear Spring Health Ma	$14 - $90	105%
Medicaid / KanCare	$15 - $296	112%
UnitedHealthcare	$96 - $296	717%
Self Pay	$148	1105%
Cigna	$190	1419%
Blue Cross Blue Shield	$222 - $296	1658%
Healthlink	$222 - $251	1658%
Health Alliance Commercial	$236 - $296	1763%
Aetna	$239 - $296	1785%
Multiplan/Phcs	$251	1875%
Beech Street	$269	2009%

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 $148.
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 Community Hospital of Staunton 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.