CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Tristar Greenview Regional Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $18
  • Cash Discount Price: $1,376
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Tristar Greenview Regional Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,376. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.34x the Medicare baseline. Located in 1801 Ashley Circle, Bowling Green, KY.
Cash / Self-Pay
$1,376

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$13.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13.39 (100%)
Cash / Self-Pay: $1,376 (10276%)
Insurance Median: $18 (134%)
Cash: $1,376 (10276% of Medicare)
Ins. Median: $18 (134% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $13 97%
Blue Cross Blue Shield $13 - $430 97%
Coventry Cares $13 97%
Devoted Health $13 97%
Humana $13 - $362 97%
Molina $13 97%
Sarah Cannon Research $13 97%
United $13 - $619 97%
Va Ccn $13 97%
Wellcare $13 - $18 97%
Horizon Pace $14 105%
Prime Health $221 1650%
Signature Advantage $262 1957%
Cigna $410 3062%
Cdm Health $674 5034%
Southern Kentucky Rehab $1,032 7707%
Occupational Mc Alliance $1,101 8223%
Tim Davis And Associates $1,101 8223%
Up And Up $1,101 8223%
Fortified Provider Network $1,239 9253%
Multiplan $1,239 9253%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 Ashley Circle, Bowling Green, KY 42104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals