CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Ferrell Hospital Community Foundations

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $71
Cash Discount Price: $148
vs. Medicare Baseline: 5.30x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Ferrell Hospital Community Foundations is $71. 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 5.30x the Medicare baseline. Located in 1201 Pine Street, Eldorado, IL.

Cash / Self-Pay

$148

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

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: $71 (530%)

Cash: $148 (1105% of Medicare)

Ins. Median: $71 (530% 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 530% of the Medicare baseline (a markup of 430%). 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
Blue Cross Blue Shield	$4 - $158	30%
Cigna	$5 - $158	37%
Aetna	$9 - $158	67%
Meridian Health Plan	$9 - $71	67%
Molina Healthcare Of Illinois	$9 - $71	67%
Health Alliance	$71 - $158	530%
Humana	$71	530%
UnitedHealthcare	$71 - $167	530%
Wellcare	$71	530%
Healthlink	$158 - $167	1180%
Healthsmart (Ihg)	$158	1180%
Hope Trust	$158	1180%
Multiplan/Phcs	$158	1180%
Zelis (Hfn)	$158	1180%
Sagamore	$162	1210%
Corvel	$177	1322%

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 Ferrell Hospital Community Foundations 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.