Blood test, cholesterol (lipid panel)
Facility: Minneola District Hospital
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $52
- Cash Discount Price: $41
- vs. Medicare Baseline: 3.88x 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 388% of the Medicare baseline (a markup of 288%). 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 |
|---|---|---|
| UnitedHealthcare | $39 - $58 | 291% |
| Va Community Care Program-All Plans | $39 | 291% |
| Humana | $39 | 291% |
| Blue Cross Blue Shield | $43 | 321% |
| Providrs Care Network-All Plans | $49 | 366% |
| Corporate Plan Management-All Plans | $49 | 366% |
| Preferred Health Care (Coventry)-All Other Plans | $52 | 388% |
| Triwest-All Plans | $52 | 388% |
| Aetna | $55 - $58 | 411% |
| Phc (Coventry) Leased Network | $55 | 411% |
| Health Partners Of Kansas-All Plans | $55 | 411% |
| Medicaid / KanCare | $58 | 433% |
Consumer Guidance & Cost Commentary
For the blood test, cholesterol (lipid panel) procedure at Minneola District Hospital, the negotiated rates range from $39 to $58 depending on your specific insurance plan, with a median negotiated amount of $52.00. This facility is a Critical Access Hospital in Kansas, and while the cash median price is $41.00, which is lower than the negotiated rates, patients with high-deductible plans may find that paying cash upfront is more cost-effective than relying on insurance, as the insurer's allowed amount often exceeds the cash price. It is important to note that this facility is government-owned, and patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing administrative claim processing fees.
The Medicare benchmark for this service is $13.39, which serves as a baseline for evaluating the facility's pricing markup. While the data provided does not include specific state or county average figures for comparison, the facility's cash rate of $41.00 is substantially higher than the Medicare amount, reflecting the typical administrative and operational costs associated with commercial billing. Patients should be aware that balance billing is generally prohibited for out-of-network services at in-network facilities under the No Surprises Act, but they must ensure they do not sign away their rights to dispute unexpected charges. To avoid errors, consumers should request a full itemized bill before paying, as summary invoices can obscure individual line items that may have been incorrectly bundled or charged for services not rendered.