CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Goshen Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $13
  • Cash Discount Price: $90
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Goshen Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 0.97x the Medicare baseline. Located in 200 High Park Ave, Goshen, IN.
Cash / Self-Pay
$90

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $90 (672%)
Insurance Median: $13 (97%)
Cash: $90 (672% of Medicare)
Ins. Median: $13 (97% 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
Advantage Health Solutions $13 97%
Aetna $13 97%
Atrio Health Plans $13 97%
Bc Allied $13 97%
Bc Federal Employee $13 97%
Bc Mcr Advantage Ppo $13 97%
Blue Cross Blue Shield $13 97%
Buckeye Health Plan $13 97%
Champva $13 97%
Cigna $13 97%
Coventry Health And Life $13 97%
Emblem Health $13 97%
Freedom Healthcare $13 97%
Geisinger Health Plan $13 97%
Health First $13 97%
Healthspring $13 97%
Humana $13 97%
Iehp Empire Health Plan $13 97%
Independent Care Health Plan $13 97%
Kaiser Permanente $13 97%
Mcr Advantra Freedom $13 97%
Mcr Allwell Mhs $13 97%
Mcr Banner Health $13 97%
Mcr Complete $13 97%
Mcr Complete Ppo $13 97%
Mcr Complete Wellmed $13 97%
Mcr Health Alliance $13 97%
Mcr Health Partners Plans $13 97%
Mcr Medical Mutual Of Ohio $13 97%
Mcr Passport Advantage $13 97%
Mcr Secure Horizons Ppo $13 97%
Mcr Texan Plus $13 97%
Mcr Upmc For Life $13 97%
Medicare (plans) $13 - $14 97%
Meridian Complete $13 97%
Optimum Healthcare $13 97%
Paramount Elite $13 97%
Primetime Health Plan $13 97%
Simply Complete Hmo $13 97%
The Umwa H&R Funds $13 97%
Todays Options Pyramid Life $13 97%
Tricare $13 97%
Trillium Advantage $13 97%
Ucare For Seniors $13 97%
Ucare Minnesota $13 97%
UnitedHealthcare $13 - $46 97%
Wellcare $13 97%
Mcr Devoted Health Plan $14 105%
Mcr Provider Partners Hlth Pln $15 112%
Ambetter / Centene $19 142%
Mkt Caresource $19 142%
All Savers $46 344%
Golden Rule Insurance 2Nd $46 344%
Oxford Health $46 344%
Uhclic $46 344%
Uhss $46 344%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 High Park Ave, Goshen, IN 46526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals