Blood test, cholesterol (lipid panel)
Facility: Hodgeman County Health Center
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $116
- Cash Discount Price: $132
- vs. Medicare Baseline: 8.66x 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 866% of the Medicare baseline (a markup of 766%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $41 - $43 | 306% |
| UnitedHealthcare | $106 - $157 | 792% |
| Humana | $106 | 792% |
| Triwest - All Plans | $106 | 792% |
| Medicaid / KanCare | $106 - $165 | 792% |
| Aetna | $132 | 986% |
| First Health - All Plans | $148 | 1105% |
| Wppa (Provdrscare) - All Plans | $157 | 1173% |
| Health Partners - All Plans | $157 | 1173% |
Consumer Guidance & Cost Commentary
For the blood test, cholesterol (lipid panel) procedure at Hodgeman County Health Center in Jetmore, KS, the facility's cash median rate is $132.00, which is lower than the negotiated rates paid by major insurers like UnitedHealthcare ($106–$157) and Medicaid/KanCare ($106–$165). While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find paying the cash price of $132.00 more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. To maximize savings, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill if paid in full upfront.
When reviewing your statement, be aware that commercial insurance rates are often inflated by administrative costs and contract structures, whereas the Medicare benchmark for this service is only $13.39. Although the facility's cash rate is significantly higher than the Medicare amount, it remains a fair baseline compared to the commercial negotiated rates. If you receive a bill that includes charges for services not rendered or unbundled components, you should request a full itemized audit before paying, as over 80% of hospital bills contain errors. Additionally, if you are an out-of-network patient, the No Surprises Act protects you from balance billing for emergency care and non-emergency services at in-network facilities, so you should dispute any unexpected bills immediately rather than accepting summary invoices.