Blood test, cholesterol (lipid panel)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $137
- Cash Discount Price: $49
- vs. Medicare Baseline: 10.23x 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 1023% of the Medicare baseline (a markup of 923%). 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 |
|---|---|---|
| Meritain Health [503200039] | $58 - $213 | 433% |
| Alt Wppa [5032000964] | $58 - $149 | 433% |
| Wppa [503200056] | $58 - $149 | 433% |
| Alt Carelon Behavioral Health [503200905] | $70 - $178 | 523% |
| Alt Meritain Health [503999911] | $83 - $213 | 620% |
| First Health [5032000110] | $83 - $213 | 620% |
| Allied National [503999937] | $83 - $213 | 620% |
| Aha-Healthcare Preferred [503200050] | $83 - $213 | 620% |
| Aetna | $83 - $213 | 620% |
| National Assn Letter Carriers [503200019] | $83 - $213 | 620% |
| Php [503200005] | $83 - $213 | 620% |
| Cigna | $83 - $284 | 620% |
| Correct Care Solutions [50311253] | $97 - $248 | 724% |
| Workers Comp [503999901] | $118 - $302 | 881% |
| Usa Managed Care [503999030] | $125 - $320 | 934% |
Consumer Guidance & Cost Commentary
For this blood test service at the University of KS Health System Great Bend Campus, the cash price of $49.00 is significantly lower than the facility's negotiated rates, which range from $58 to $320 depending on the insurance carrier. While the facility's cash price is roughly 30% of the Medicare benchmark of $13.39, it is important to note that commercial negotiated rates often exceed cash prices due to administrative costs and contract structures. Patients with high-deductible plans or those who have not yet met their out-of-pocket maximum may find paying the cash price directly more cost-effective than relying on insurance, which could result in a higher allowed amount after deductibles are applied. To maximize savings, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
This facility is a government-owned acute care hospital located in Great Bend, Kansas, and its pricing data reflects a vintage of June 2026. The facility holds a rating of 4 and serves 15 different payers, with negotiated rates for this specific code varying widely across plans. Because the No Surprises Act prohibits balance billing for out-of-network services at in-network facilities, patients should be aware that any unexpected bills for emergency or non-emergency care from out-of-network providers at this location are likely illegal. If a patient receives a bill that seems excessive, they should request a formal itemized audit to verify that all charges correspond to services actually rendered and that no unbundled codes or duplicate billing occurred, as over 80% of hospital bills contain errors.