Blood test, cholesterol (lipid panel)
Facility: Menorah Medical Center
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $25
- Cash Discount Price: $1,692
- vs. Medicare Baseline: 1.87x 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.
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 |
|---|---|---|
| Cigna | $7 - $1,354 | 52% |
| United | $12 - $762 | 90% |
| Blue Cross Blue Shield | $13 - $762 | 97% |
| Aetna | $13 - $863 | 97% |
| Devoted Health | $13 | 97% |
| Humana | $13 - $33 | 97% |
| Home State Health Plan | $13 | 97% |
| Coventry | $13 - $680 | 97% |
| Amerigroup | $13 | 97% |
| Wellcare | $14 | 105% |
| Healthyblue | $14 | 105% |
| Unicare | $14 | 105% |
| Medicaid / KanCare | $14 | 105% |
| Pyramid Life | $14 | 105% |
| Celtic | $14 | 105% |
| Triwest Health Alliance | $14 | 105% |
| Oscar | $20 | 149% |
| Multiplan | $24 - $1,252 | 179% |
| Corvel Corporation | $28 - $1,100 | 209% |
| Oha Network | $30 - $846 | 224% |
| Ambetter / Centene | $315 | 2353% |
| Nhc Advantage | $322 | 2405% |
| Wppa Providrs Care Network | $338 | 2524% |
| Universal Healthcare | $592 | 4421% |
| Coventry Kc Mo | $694 | 5183% |
| College Park Family Care Center | $728 | 5437% |
| Cco, Inc. | $1,269 | 9477% |
| Focus Healthcare Mgmt, Inc | $1,269 | 9477% |
Consumer Guidance & Cost Commentary
For the CPT code 80061, representing a blood test for cholesterol (lipid panel), Menorah Medical Center in Overland Park, KS, lists a cash median price of $1,692.00. This cash rate is significantly higher than the Medicare benchmark of $13.39, which serves as the federal baseline for healthcare costs. While the facility offers a median negotiated rate of $25.00 for commercial payers, this figure is an average across 28 different insurance plans and does not reflect the specific amount your individual plan will pay. For patients with high-deductible plans, paying the cash price of $1,692.00 upfront may be more cost-effective than relying on insurance, as many commercial contracts result in negotiated rates that exceed the cash-pay amount.
To ensure you are receiving the best possible price, it is crucial to request an itemized billing audit before finalizing payment, as summary bills often obscure individual line items and potential errors. Additionally, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if settled in full within a short window. Given that the facility is a proprietary acute care hospital, verifying your specific plan's allowed amount and checking for any applicable discounts prior to scheduling the test will help prevent unexpected charges and ensure you are not paying more than necessary.