Blood test, cholesterol (lipid panel)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $43
- Cash Discount Price: $54
- vs. Medicare Baseline: 3.21x 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 321% of the Medicare baseline (a markup of 221%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $14 | 105% |
| UnitedHealthcare | $17 - $60 | 127% |
| Berkley Net-All Plans | $24 | 179% |
| Aetna | $26 - $41 | 194% |
| Trustmark Health Benefits-All Plans | $26 | 194% |
| Meritain Health-All Plans | $27 | 202% |
| Ambetter / Centene | $29 | 217% |
| Axa Equitable - All Plans | $33 | 246% |
| Medi-Share-All Plans | $34 | 254% |
| Pinnacol-All Plans | $34 | 254% |
| Presbyterian-All Plans | $37 | 276% |
| Kasb Work Comp - All Plans | $38 | 284% |
| The Kempton Group Admin-All Plans | $41 | 306% |
| Gpha(Wppa)-All Other Plans | $42 | 314% |
| Auxiant - All Plans | $42 | 314% |
| Sisco-All Plans | $43 | 321% |
| Emc-All Plans | $43 | 321% |
| Wppa- All Plans | $43 | 321% |
| Providers Care Network- All Plans | $43 | 321% |
| Gpha Employee Benefit Plan | $44 | 329% |
| Employee Benefit-All Plans | $45 | 336% |
| Regional Care(Wppa)-All Plans | $45 | 336% |
| One Call Physician-All Plans | $46 | 344% |
| First Health -All Plans | $46 | 344% |
| Triangle-All Plans | $46 | 344% |
| Blue Cross Blue Shield | $47 | 351% |
| Tricare | $48 | 358% |
| Christian Hospital Aid - All Plans | $48 | 358% |
| Humana | $52 | 388% |
| Luminare Health- All Plans | $53 | 396% |
| Cigna | $53 | 396% |
| Coresource-All Plans | $54 | 403% |
| Deseret Mutual(Uhis)-All Plans | $54 | 403% |
| Vaccn-All Plans | $55 | 411% |
| Wps Vapc-All Plans | $57 | 426% |
| Reserve National-All Plans | $57 | 426% |
| Hma Llc-All Plans | $57 | 426% |
| Medicaid / KanCare | $60 | 448% |
Consumer Guidance & Cost Commentary
For the blood test, cholesterol (lipid panel) procedure at Satanta District Hospital, the cash price is $54.00, which is slightly lower than the facility's negotiated rates with major payers like UnitedHealthcare (ranging from $17 to $60) and Aetna (ranging from $26 to $41). While the facility's cash rate is competitive, it is important to note that commercial insurance contracts often result in higher allowed amounts than self-pay prices due to administrative costs and contract structures. Patients with high-deductible plans may find that paying the cash price of $54.00 upfront is more cost-effective than relying on insurance, especially if their deductible has not yet been met or if the negotiated rate exceeds the cash amount.
To ensure you are receiving the most accurate pricing, it is recommended to request a prompt-pay discount or self-pay rate directly from the hospital before scheduling your visit, as these can reduce the final cost by 20% to 50%. Additionally, if you are billed by an out-of-network provider or receive unexpected charges, you may be eligible for protections under the No Surprises Act, which prevents balance billing for emergency care and non-emergency services at in-network facilities. Always ask for a full itemized bill to verify that no services were unbundled or charged for items that were not rendered, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.