CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Massac Memorial Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $31
Cash Discount Price: $50
vs. Medicare Baseline: 2.32x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Massac Memorial Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 2.32x the Medicare baseline. Located in 28 Chick Street, Po Box 850, Metropolis, IL.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $50 (373%)

Insurance Median: $31 (232%)

Cash: $50 (373% of Medicare)

Ins. Median: $31 (232% 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 232% of the Medicare baseline (a markup of 132%). 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	$16 - $88	119%
Blue Cross Blue Shield	$16 - $103	119%
Medicaid / KanCare	$16	119%
Molina Ky Mcaid	$16	119%
Chesi Op Only-All Plans	$19 - $57	142%
Health Alliance Mcare Adv	$19 - $57	142%
Humana	$19 - $57	142%
Health Alliance Exchange	$23 - $70	172%
Health Alliance-All Other Plans	$23 - $70	172%
Prime Health Services-All Plans	$23 - $70	172%
Healthlink Hmo	$26 - $78	194%
Cigna	$30 - $88	224%
Healthlink Ppo-All Other Plans	$30 - $88	224%
UnitedHealthcare	$30 - $90	224%
Multiplan-All Plans	$32 - $96	239%

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 $50.
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 Massac Memorial 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.