Blood test, cholesterol (lipid panel)
Facility: Kingman Healthcare Center
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $1
- Cash Discount Price: $1
- vs. Medicare Baseline: 0.07x 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.
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 | $3 | 22% |
| Cigna | $3 | 22% |
| Health Partners | $3 | 22% |
| Aetna | $3 | 22% |
| Medicaid / KanCare | $13 | 97% |
| Healthy Blue | $13 | 97% |
| Triwest | $14 | 105% |
Consumer Guidance & Cost Commentary
For the CPT code 80061, representing a blood test for a cholesterol lipid panel at Kingman Healthcare Center in Kansas, the cash median price is $1.00. This cash rate is significantly lower than the facility's gross charge of $3.00 and aligns with the negotiated rates of $1.00 found with payers like Cigna and UnitedHealthcare. While the Medicare benchmark for this service is $13.39, the cash and negotiated prices are approximately 7% of the Medicare amount. Patients with high-deductible plans or those without insurance may find this cash price advantageous, as it avoids the administrative costs and higher negotiated rates often associated with insurance billing. It is important to note that while the facility is a Critical Access Hospital in a rural area (Zip 67068), specific county or state average data for this exact procedure was not provided in the report, so these comparisons are based on the facility's internal cash and negotiated figures.
To minimize unexpected costs, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling any appointments, as these upfront payments can reduce the final bill by 20% to 50%. If you do use insurance, be aware that the No Surprises Act protects you from balance billing for out-of-network services at in-network facilities, but you should still request an itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included. Since over 80% of hospital bills contain errors, it is advisable to review your statement line-by-line to ensure you are only paying for the specific lipid panel service and