Blood test, cholesterol (lipid panel)
Facility: Kearny County Hospital
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $192
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 14.34x 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 1434% of the Medicare baseline (a markup of 1334%). 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 |
|---|---|---|
| Kansas Solutions | $192 | 1434% |
| Blue Cross Blue Shield | $192 | 1434% |
| Meritain Health | $192 | 1434% |
| Wps Gha - Mac J5 Part A | $192 | 1434% |
| Humana | $192 | 1434% |
| Luminare Health | $192 | 1434% |
| Community Care Health Plan Of | $192 | 1434% |
| Aetna | $192 | 1434% |
| UnitedHealthcare | $192 | 1434% |
| Benefit Plan Administrators | $381 | 2845% |
Consumer Guidance & Cost Commentary
For this blood test service at Kearny County Hospital in Lakin, Kansas, the negotiated payment rate is $192.00 across all ten major payers listed, including UnitedHealthcare and Aetna. This rate is identical to the facility's median negotiated amount and aligns with the gross charge of $192.00, meaning no balance billing is expected for in-network members. However, because the cash median is not available in the data, patients with high-deductible plans should verify if paying out-of-pocket directly could result in lower costs. It is always advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can significantly reduce the final bill if paid in full upfront.
The facility's pricing for this procedure is benchmarked against the Medicare rate of $13.39, showing a significant markup relative to the federal baseline. While the data does not provide specific state or county average comparisons for this exact code, the fixed negotiated rate of $192.00 suggests a consistent pricing structure across all participating insurance plans. If a patient receives an itemized bill that exceeds this amount, they should request a formal audit to identify errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain inaccuracies. Under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, so any unexpected charges should be disputed immediately with the insurer or billing department.