Blood test, cholesterol (lipid panel)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $169
- Cash Discount Price: $225
- vs. Medicare Baseline: 12.62x 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 1262% of the Medicare baseline (a markup of 1162%). 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 | $135 | 1008% |
| Americas Choice Provider Network | $158 | 1180% |
| Velocity | $169 | 1262% |
| Quiktrip Corporation | $169 | 1262% |
| Provider Network Of America | $169 | 1262% |
| Usa Managed Care Organization | $169 | 1262% |
| Multiplan-Phcs | $180 | 1344% |
| Prime Health Services | $191 | 1426% |
| Medincrease | $203 | 1516% |
Consumer Guidance & Cost Commentary
For the blood test, cholesterol (lipid panel) procedure at the Rehabilitation Hospital Of Overland Park, the cash price is $225.00, which matches the facility's cash median. This rate is significantly higher than the state of Kansas average, which is 12.6% below the facility's cash price. While many patients assume insurance will lower their cost, the data shows that negotiated rates for this service range from $135 to $203 across nine different payers, all of which are lower than the cash price. For individuals with high-deductible plans or those without insurance, paying the cash price of $225.00 directly may be more cost-effective than relying on insurance, as the negotiated amounts paid by insurers do not exceed the cash rate.
It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details before scheduling. If you choose to pay out-of-pocket, you should ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, if you receive an itemized bill, ensure it is a detailed statement showing specific CPT codes rather than a summary bill, as over 80% of hospital bills contain errors such as double-billing or unbundled charges. Always request a formal written audit dispute via certified mail if you identify discrepancies, rather than settling verbally, to protect your rights and minimize medical debt.