CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Hammond Henry Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $147
Cash Discount Price: $179
vs. Medicare Baseline: 10.98x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Hammond Henry Hospital is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 10.98x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$179

Average discount available for prompt cash payment at this facility.

Insurance Median

$147

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: $179 (1337%)

Insurance Median: $147 (1098%)

Cash: $179 (1337% of Medicare)

Ins. Median: $147 (1098% 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 1098% of the Medicare baseline (a markup of 998%). 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	$17 - $149	127%
Blue Cross Blue Shield	$17 - $119	127%
Meridian Health Plan-All Plans	$17	127%
Quad City Community Hc-All Plans	$27	202%
Geneseo Good Samaritan Village Op Only-All Plans	$43	321%
Tricare	$52	388%
Health Alliance Mcare Adv	$58	433%
Humana	$58 - $179	433%
UnitedHealthcare	$58 - $147	433%
Wellmark Of Ia-All Plans	$100	747%
Springfield Armory-All Plans	$129	963%
Ambetter / Centene	$139	1038%
Health Alliance-All Other Plans	$149	1113%
Multiplan Integrated Hp	$149	1113%
Cigna	$153	1143%
Multiplan Pponext	$159	1187%
Osf Direct Access Network-All Plans	$159	1187%
Multiplan-All Other Plans	$169	1262%
Corvel-All Plans	$179	1337%
Healthsmart Adult-All Other Plans	$179	1337%
Healthsmart Pediatric	$179	1337%
Hfn-All Plans	$179	1337%
Multiplan Beech Street	$179	1337%
Multiplan Phcs Adult	$179	1337%
Multiplan Phcs Pediatric	$179	1337%
Usa Mco-All Plans	$179	1337%

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 $179.
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 Hammond Henry 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.