CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: University Of Kansas Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $50
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 3.73x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at University Of Kansas Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 3.73x the Medicare baseline. Located in 4000 Cambridge Street, Kansas City, KS.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $13 (97%)
Insurance Median: $50 (373%)
Cash: $13 (97% of Medicare)
Ins. Median: $50 (373% 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 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.

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
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.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Cambridge Street, Kansas City, KS 66160
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals