Blood test, cholesterol (lipid panel)
Facility: University Of Kansas Hospital
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $50
- Cash Discount Price: $13
- vs. Medicare Baseline: 3.73x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 373% of the Medicare baseline (a markup of 273%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Larned State Hospital [503200090] | $18 - $105 | 134% |
| Health Plan Inc [503999941] | $29 - $167 | 217% |
| Alt Carelon Behavioral Health [503200905] | $30 - $178 | 224% |
| Accarent Health [503999034] | $30 - $178 | 224% |
| Med-Pay [503200040] | $37 - $215 | 276% |
| Geha [503200036] | $37 - $215 | 276% |
| Healthlink [503200007] | $37 - $262 | 276% |
| Alt Wppa [5032000964] | $37 - $215 | 276% |
| Inter-Americas Insurance [503999032] | $37 - $215 | 276% |
| Cerner [503200038] | $37 - $215 | 276% |
| Php [503200005] | $37 - $262 | 276% |
| Allied National [503999937] | $37 - $213 | 276% |
| Cigna | $39 - $284 | 291% |
| First Health [5032000110] | $40 - $234 | 299% |
| Aha-Healthcare Preferred [503200050] | $40 - $234 | 299% |
| Blue Cross Blue Shield | $42 - $272 | 314% |
| Ascension Living Hope [503201517] | $43 - $248 | 321% |
| Coeur Plan Services [503301517] | $43 - $248 | 321% |
| Consolidated Billing [50311256] | $43 - $248 | 321% |
| Correct Care Solutions [50311253] | $43 - $248 | 321% |
| Orscheln Industries [503201608] | $46 - $266 | 344% |
| Empire Plan/Nyship [503200705] | $47 - $272 | 351% |
| Alt Lineco [5032000976] | $47 - $272 | 351% |
| Alt Lucent Health Solutions [503202603] | $47 - $272 | 351% |
| Century Health Solutions [503200054] | $49 - $284 | 366% |
| Point Comfort Underwriters [503200018] | $49 - $284 | 366% |
| Quiktrip [5032000412] | $49 - $284 | 366% |
| Wppa [503200056] | $51 - $298 | 381% |
| Meritain Health [503200039] | $51 - $298 | 381% |
| Sanford Health Plan [503999027] | $55 - $320 | 411% |
| Employers Health Network [503999025] | $55 - $320 | 411% |
| Three Rivers Provider Network [503999029] | $55 - $320 | 411% |
| Plan Care America [503999026] | $55 - $320 | 411% |
| Usa Managed Care [503999030] | $55 - $320 | 411% |
| Workers Comp [503999901] | $58 - $337 | 433% |
Consumer Guidance & Cost Commentary
For the blood test, cholesterol (lipid panel) procedure at University Of Kansas Hospital, the facility's cash price of $13.00 is significantly lower than the negotiated rates charged to commercial insurance plans, which range from $18 to $337 depending on the payer. While the facility's negotiated average of $50.00 is higher than the cash price, it remains below the highest negotiated rates found in the state, such as the $337 rate charged by Workers Comp. Patients with high-deductible plans may find it financially advantageous to pay the $13.00 cash price directly, as the insurance negotiated rates often exceed this amount, especially when administrative fees and claim processing costs are factored into the commercial billing cycle.
To minimize out-of-pocket expenses, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% for upfront payment. It is also important to request an itemized billing audit before paying, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that could be corrected. When evaluating the facility's pricing against the national standard, the Medicare benchmark for this service is $13.39, indicating that the cash price of $13.00 is already at or near the federal cost baseline, whereas commercial rates reflect the additional administrative overhead and contract dynamics typical of the healthcare system.