Blood test, cholesterol (lipid panel)
Facility: Bluffton Regional Medical Center
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $14
- Cash Discount Price: $10
- vs. Medicare Baseline: 1.05x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Encore Ppo | $1 - $117 | 7% |
| Lutheran Preferred Network | $1 - $192 | 7% |
| Sagamore Health Newtork Inc | $1 - $129 | 7% |
| Sagamore Sebt | $1 - $123 | 7% |
| UnitedHealthcare | $1 - $119 | 7% |
| Advantage 360 | $2 - $199 | 15% |
| Aetna | $2 - $107 | 15% |
| Ahg Dana Employees | $2 - $156 | 15% |
| Align Networks | $2 - $168 | 15% |
| Allied Benefit Systems | $2 - $216 | 15% |
| Amish Aid | $2 - $58 | 15% |
| Blue Cross Blue Shield | $2 - $21 | 15% |
| Cardinal Health Alliance | $2 - $216 | 15% |
| Cigna | $2 - $85 | 15% |
| Community Health Alliance | $2 - $204 | 15% |
| Consumer Life | $2 - $149 | 15% |
| Encore Health Network | $2 - $216 | 15% |
| Encore Kba Epo | $2 - $32 | 15% |
| Encore Work Comp In | $2 - $24 | 15% |
| First Health | $2 - $206 | 15% |
| Lutheran Advanced Network | $2 - $20 | 15% |
| Lutheran Northwest Health Preferred | $2 - $27 | 15% |
| Lutheran Three Rivers Preferred Plus 150 | $2 - $20 | 15% |
| Lutheran Three Rivers Preferred Plus 175 | $2 - $23 | 15% |
| Lutheran Trma | $2 - $108 | 15% |
| Managed Health Services Exchange | $2 - $27 | 15% |
| Multiplan | $2 - $192 | 15% |
| Northeast Hospice | $2 - $168 | 15% |
| Php Management Systems | $2 - $93 | 15% |
| Ppom | $2 - $216 | 15% |
| Prime Health Services | $2 - $180 | 15% |
| Private Healthcare Systems Inc | $2 - $180 | 15% |
| Self Pay | $2 - $132 | 15% |
| Tricare | $2 - $12 | 15% |
| Workers Compensation | $2 - $27 | 15% |
| County Jail Health Care | $3 - $14 | 22% |
| Department Of Veterans Affairs | $3 - $13 | 22% |
| Encore Kba Ppo | $3 - $40 | 22% |
| Humana | $3 - $13 | 22% |
| In Dept Of Correction | $3 - $14 | 22% |
| Medicare (plans) | $3 - $13 | 22% |
| Node Caresource Mcr Adv | $3 - $13 | 22% |
| Node Devoted Health Mcr Adv | $3 - $13 | 22% |
| Node Iu Health Mcr Adv | $3 - $13 | 22% |
| Node Mhs Mcr Adv | $3 - $13 | 22% |
| Node Non Par Hospice Agree | $3 - $13 | 22% |
| Node Pphp Mcr Adv | $3 - $14 | 22% |
| Node Va | $3 - $13 | 22% |
| Php | $3 - $34 | 22% |
| Php Freedom Network | $3 - $24 | 22% |
| Physicians Health Plan | $3 - $32 | 22% |
| Us Department Of Labor | $3 - $17 | 22% |
| Veterans Eval Services | $3 - $13 | 22% |
| Caresource | $13 | 97% |
| Medicaid / KanCare | $13 | 97% |
| Mhs | $13 | 97% |
| Mhs In Hip | $13 | 97% |