Blood test, cholesterol (lipid panel)
Facility: Wichita County Health Center
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $64
- Cash Discount Price: $56
- vs. Medicare Baseline: 4.78x 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 478% of the Medicare baseline (a markup of 378%). 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 |
|---|---|---|
| Medicaid / KanCare | $58 | 433% |
| UnitedHealthcare | $70 | 523% |
Consumer Guidance & Cost Commentary
For the blood test, cholesterol (lipid panel) service at Wichita County Health Center in Leoti, KS, the facility's cash median price is $56.00, which is lower than the state average of $58.00. While UnitedHealthcare negotiates a rate of $70.00 and Medicaid/KanCare pays $58.00, patients with high-deductible plans may find the cash price more affordable if their insurance allowed amount exceeds $56.00. Because commercial negotiated rates often include administrative overhead and contract dynamics that inflate the baseline price, paying cash directly can sometimes result in a lower out-of-pocket cost compared to using insurance for this specific procedure.
To ensure you receive the most accurate pricing, it is important to verify if the facility offers "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% for upfront payment. Although the facility is a Critical Access Hospital owned by the local government, patients should avoid accepting summary bills that obscure individual charges, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. If you receive a bill, request a full itemized CPT-coded statement to identify any services not rendered or charges that should be bundled, and dispute any discrepancies in writing rather than settling verbally to protect your rights under federal protections like the No Surprises Act.