CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Illini Community Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $330
Cash Discount Price: $233
vs. Medicare Baseline: 24.65x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Illini Community Hospital is $330. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 24.65x the Medicare baseline. Located in 640 W Washington, Pittsfield, IL.

Cash / Self-Pay

$233

Average discount available for prompt cash payment at this facility.

Insurance Median

$330

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: $233 (1740%)

Insurance Median: $330 (2465%)

Cash: $233 (1740% of Medicare)

Ins. Median: $330 (2465% 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 2465% of the Medicare baseline (a markup of 2365%). 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
Humana	$114	851%
Blue Cross Blue Shield	$200 - $330	1494%
Blue Access	$233	1740%
United Behavioral Health	$233	1740%
UnitedHealthcare	$311	2323%
Aetna	$330	2465%
Blue Preferred	$330	2465%
Cigna	$330	2465%
Health Link	$330	2465%
Private Healthcare Systems-Multi Plan Primary	$330	2465%
Health Link Ppo	$350	2614%
Private Healthcare Systems-Multi Plan Complementary	$350	2614%

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 $233.
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 Illini Community Hospital 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.