CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Labette Health

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $16
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Labette Health is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.19x the Medicare baseline. Located in 1902 South Us Hwy 59, Parsons, KS.
Cash / Self-Pay
$65

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $65 (485%)
Insurance Median: $16 (119%)
Cash: $65 (485% of Medicare)
Ins. Median: $16 (119% 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
UnitedHealthcare $13 - $129 97%
Blue Cross Blue Shield $13 - $43 97%
Wellcare $13 97%
Medicaid / KanCare $13 - $14 97%
Humana $13 97%
Multiplan $14 - $126 105%
Healthy Blue $14 105%
Ambetter / Centene $15 112%
Uhccp $16 119%
Montgomery County $24 - $49 179%
Choicecare (First Health Network) $133 993%
Health Partners Of Kansas, Inc $133 993%

Consumer Guidance & Cost Commentary

For the blood test, cholesterol (lipid panel) service at Labette Health in Parsons, KS, the cash median price is $65.00, which is significantly lower than the facility's gross charge of $93.00. While the facility is in-network for twelve payers, the negotiated rates vary widely, ranging from $13 to $133 depending on the insurance plan. For instance, UnitedHealthcare and Blue Cross Blue Shield have negotiated rates between $13 and $43, whereas Choicecare (First Health Network) and Health Partners Of Kansas, Inc. have a fixed negotiated rate of $133. Patients with high-deductible plans may find it financially advantageous to pay the cash price of $65.00 directly, as this amount is lower than the negotiated rates for many commercial payers and avoids potential administrative fees associated with insurance claims.

To maximize savings, patients should proactively ask the billing department about "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront. It is crucial to request a "self-pay" classification before check-in and sign a waiver to prevent the hospital from automatically submitting an insurance claim that would void the cash discount. Additionally, while the facility is located in a rural area with a government-local ownership structure, the cash price of $65.00 remains competitive relative to the state and county averages for this procedure. Consumers are advised to obtain an itemized bill before paying to ensure all charges are accurate and to dispute any errors in writing, as over 80% of hospital bills contain mistakes that can be corrected.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1902 South Us Hwy 59, Parsons, KS 67357
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals