CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: The Women's Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $14
  • Cash Discount Price: $232
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at The Women's Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$232

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $232 (1733%)
Insurance Median: $14 (105%)
Cash: $232 (1733% of Medicare)
Ins. Median: $14 (105% 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
Amish $5 - $31 37%
Blue Cross Blue Shield $6 - $14 45%
UnitedHealthcare $8 - $314 60%
Aetna $9 - $90 67%
Meridian Health Il $9 - $13 67%
Molina Il $9 - $13 67%
Caresource $13 97%
Caresource Hip $13 97%
Caresource In $13 97%
Chamber Care $13 - $53 97%
Humana $13 97%
Iu Health $13 - $196 97%
Mdwise Hip $13 97%
Mhs $13 97%
Mhs Behavioral $13 97%
Molina Ky $13 97%
Molina Ky Dual $13 97%
Passport Molina Ky $13 - $90 97%
Patoka Valley Health Care (80/20 Plan) $13 97%
Patoka Valley Health Care (90/10 Plan) $13 97%
Wellcare Ky $13 - $90 97%
Alliance Coal $14 - $272 105%
Ambetter / Centene $15 - $21 112%
Caresource Marketplace (Just4Me) $17 - $20 127%
One Care $17 - $275 127%
Hst $18 - $20 134%
Allied National/Zelis - Freedom Plan $19 - $33 142%
Claimdoc $19 142%
Encorecombined $21 - $275 157%
Encoreprime $21 - $267 157%
Hope Trust $21 - $22 157%
Noncontracted $21 157%
Cigna $27 - $283 202%
Claritev (Formerly Phcs/Mulitplan) $27 - $271 202%
First Health/Coventry $27 - $291 202%
Healthlink $27 - $334 202%
Sagamore $27 - $283 202%
Self Pay $31 - $232 232%
Center Care $53 - $306 396%
Immergrun $164 1225%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals