CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Lutheran Hospital of Indiana

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $9
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 0.67x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Lutheran Hospital of Indiana is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 0.67x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $6 (45%)
Insurance Median: $9 (67%)
Cash: $6 (45% of Medicare)
Ins. Median: $9 (67% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $1 - $103 7%
Ky Work Comp $1 - $54 7%
Lutheran Preferred $1 - $86 7%
Physicians Health Plan Of Northern Indiana $1 - $85 7%
Amish Aid $2 - $65 15%
Blue Cross Blue Shield $2 - $80 15%
Cigna $2 - $78 15%
Encore Ppo $2 - $106 15%
Lutheran Network $2 - $108 15%
Lutheran Preferred Network $2 - $130 15%
Sagamore $2 - $117 15%
Self Pay $2 - $78 15%
UnitedHealthcare $2 - $106 15%
Advantage Health Solutions $3 - $179 22%
Allied Benefit Systems $3 - $194 22%
Department Of Veterans Affairs $3 - $13 22%
Encore Health Network $3 - $194 22%
Evolutions $3 - $194 22%
Humana $3 - $13 22%
Iu Health Plan $3 - $13 22%
Managed Health Services $3 - $27 22%
Medicare (plans) $3 - $13 22%
Multiplan $3 - $179 22%
Node Devoted Health Mcr Adv $3 - $13 22%
Node Hospice Non Par Agree $3 - $13 22%
Node Va $3 - $13 22%
Php Freedom Network $3 - $26 22%
Prime Health Services $3 - $162 22%
Tricare $3 - $12 22%
Veterans Eval Services $3 - $13 22%
In Dept Of Correction $4 - $14 30%
Node Pphp Mcr Adv $4 - $14 30%
Us Department Of Labor $4 - $17 30%
Lutheran Advanced Network $5 - $20 37%
Node Lutheran Network $5 - $23 37%
Node Lutheran Preferred Fixed 2 $5 - $20 37%
Align Network $6 - $21 45%
Encore Work Comp In $6 - $24 45%
Node Encore Kba Epo $8 - $32 60%
Node Encore Kba Ppo $10 - $40 75%
Care Source $13 97%
Medicaid / KanCare $13 97%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals