CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Perry County Memorial Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $39
Cash Discount Price: $105
vs. Medicare Baseline: 2.91x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Perry County Memorial Hospital is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 2.91x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$39

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: $105 (784%)

Insurance Median: $39 (291%)

Cash: $105 (784% of Medicare)

Ins. Median: $39 (291% 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 291% of the Medicare baseline (a markup of 191%). 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
Bc 130	$6 - $120	45%
Group Insurance	$6 - $150	45%
Nsa	$6 - $93	45%
Medicaid / KanCare	$13 - $150	97%
Medicare (plans)	$13 - $39	97%
Veterans Administration	$13 - $150	97%
Workers Compensation	$75	560%
Guarantor Liable	$105 - $150	784%
Pcmh Insurnace	$117 - $150	874%
Secondary Insurance	$120	896%
UnitedHealthcare	$120	896%
Operating Engineers	$128	956%
Boilermakers Healthcare	$130	971%
Cigna	$130	971%
Great West	$130 - $150	971%
Sagxxxx	$130	971%
Champus	$150	1120%
Ngs American, Inc	$150	1120%
Patoka Valley	$150	1120%
Southwire	$150	1120%
Tricare	$150	1120%
Wausau Benefits	$150	1120%

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 $105.
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 Perry County Memorial Hospital 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.