CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Decatur County Memorial Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $61
Cash Discount Price: $111
vs. Medicare Baseline: 4.56x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Decatur County Memorial Hospital is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 4.56x the Medicare baseline. Located in 720 North Lincoln Street, Greensburg, IN.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$61

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: $111 (829%)

Insurance Median: $61 (456%)

Cash: $111 (829% of Medicare)

Ins. Median: $61 (456% 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 456% of the Medicare baseline (a markup of 356%). 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
Blue Cross Blue Shield	$13 - $129	97%
Encircle-All Plans	$13 - $26	97%
Medicaid / KanCare	$13	97%
UnitedHealthcare	$13 - $57	97%
Choice Care Mcr Adv	$28 - $57	209%
Siho Mcr Adv	$28 - $57	209%
Caresource Mcr Adv	$30 - $60	224%
Aetna	$33 - $150	246%
Caresource Just4Me-All Other Plans	$48 - $97	358%
Cigna	$75 - $152	560%
Sagamore Health-All Plans	$78 - $158	583%
Healthsource Indiana-All Plans	$88 - $177	657%
Choicecare Commercial-All Other Plans	$91 - $183	680%
Thcg/Encore-All Plans	$92 - $185	687%
Siho-All Other Plans	$95 - $191	709%

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 $111.
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 Decatur 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.