CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Shirley Ryan Abilitylab

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $193
Cash Discount Price: $149
vs. Medicare Baseline: 14.41x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Shirley Ryan Abilitylab is $193. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 14.41x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.

Cash / Self-Pay

$149

Average discount available for prompt cash payment at this facility.

Insurance Median

$193

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: $149 (1113%)

Insurance Median: $193 (1441%)

Cash: $149 (1113% of Medicare)

Ins. Median: $193 (1441% 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 1441% of the Medicare baseline (a markup of 1341%). 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
Uic Physician Group-Campuscare	$124	926%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co	$132 - $211	986%
State Of Illinois	$132	986%
Affordable Health Care Concepts	$149	1113%
University Of Chicago Practice Plan	$161	1202%
Health Care Services Corporation Dba Managed Care Network Preferred	$169	1262%
Gallagher Benefit Administrators	$186	1389%
Unicare Life And Health Insurance	$193	1441%
Private Healthcare Systems	$198	1479%
Resurrection Health Care Preferred	$198	1479%
Uic Physician Group	$201	1501%
Cofinity Aka Ppom	$211	1576%
Health Payors Organization	$211	1576%
Healthnetwork	$218	1628%
Hfn	$223	1665%

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 $149.
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 Shirley Ryan Abilitylab 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.