Blood test, cholesterol (lipid panel)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $14
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.05x 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 |
|---|---|---|
| Smarthealth | $12 - $19 | 90% |
| Vc Hope | $13 | 97% |
| Medicare (plans) | $13 - $14 | 97% |
| Humana | $13 | 97% |
| Va | $13 | 97% |
| Blue Cross Blue Shield | $14 | 105% |
| UnitedHealthcare | $14 - $37 | 105% |
| Cigna | $20 | 149% |
| Medicaid / KanCare | $23 | 172% |
| Aetna | $42 - $47 | 314% |
| Coventry City Of Wichita | $54 | 403% |
Consumer Guidance & Cost Commentary
For the CPT code 80061, representing a blood test for cholesterol (lipid panel), Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, has a median negotiated rate of $14.00 across 11 payers. This rate aligns closely with the Medicare benchmark of $13.39, indicating pricing that is fair and consistent with federal cost standards. While commercial plans like UnitedHealthcare show a wider range of negotiated amounts ($14 to $37), the facility's overall median remains stable. For patients with high-deductible plans, paying cash upfront could potentially be more cost-effective if the insurance negotiated rate exceeds the cash price, though specific cash rates are not listed for this service.
Patients should proactively inquire 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. It is important to request an itemized CPT-coded statement rather than accepting a summary bill, as over 80% of hospital invoices contain errors such as unbundled codes or charges for services not rendered. By verifying the exact line items and disputing any discrepancies in writing, consumers can ensure they are only paying for the actual services provided and avoid unexpected balance billing, which is largely prohibited for non-emergency care at in-network facilities under federal protections.