CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Northern Louisiana Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $384
  • Cash Discount Price: $301
  • vs. Medicare Baseline: 28.68x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Northern Louisiana Medical Center is $384. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $301. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 28.68x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$301

Average discount available for prompt cash payment at this facility.

Insurance Median
$384

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: $301 (2248%)
Insurance Median: $384 (2868%)
Cash: $301 (2248% of Medicare)
Ins. Median: $384 (2868% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2868% of the Medicare baseline (a markup of 2768%). 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.

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
Champus $11 82%
Champva $11 82%
Golden Rule Ins $11 - $329 82%
Tricare $11 - $13 82%
UnitedHealthcare $11 - $329 82%
Aetna $13 - $328 97%
Blue Cross Blue Shield $13 - $78 97%
Gulf South Services $13 97%
Humana $13 - $86 97%
Medicaid / KanCare $13 - $548 97%
Medicare (plans) $13 97%
Mutual Of Omaha $13 97%
Va $13 97%
Vantage Advantage $13 97%
Veterans Evaluation Svcs $13 97%
First Health $25 - $465 187%
Vantage Health Plan Ppaca $25 187%
Vantage Health Plan $27 202%
Verity Healthnet $268 2001%
Cigna $274 2046%
Kaiser Permanente $274 2046%
Gilsbar $301 2248%
Self Pay $301 2248%
Geha $438 - $520 3271%
Multiplan $465 3473%
Phcs $465 3473%
Work Comp City Of Ruston $493 3682%
Work Comp First Health $493 3682%
Work Comp Nlmc Emp $493 3682%
Workers Compensation $493 3682%
Aarp $548 4093%
Aflc American Family Life $548 4093%
American Life Accident $548 4093%
Apwu Health Plan $548 4093%
Bankers Life And Casualty $548 4093%
Benefit Trust Life $548 4093%
Crime Victims Compensatio $548 4093%
Equitable $548 4093%
Fox Everett Inc $548 4093%
Gmp Employers Retiree Tru $548 4093%
Gsu Athletics $548 4093%
Guarantee Trust Life Ins $548 4093%
Healthfirst Tpa $548 4093%
Hospice Of Caring Hearts $548 4093%
Ima Insurance $548 4093%
Industrial Accounts $548 4093%
Liberty Healthshare $548 4093%
Liberty Mutual Group $548 4093%
Lifecare Specialty Hosp $548 4093%
Lin Parish Detention $548 4093%
Lincoln Kidney Center $548 4093%
Ltu Athletics $548 4093%
Ltu Student Ins Bollinger $548 4093%
Mcr American Hlth Adv $548 4093%
Misc Commercial $548 4093%
Mva Insurance Payors $548 4093%
Nalc Health Benefit Plan $548 4093%
Nalc Natl Assoc Ltr Carri $548 4093%
Newera $548 4093%
Nlmc Community Services $548 4093%
Physicians Mutual Ins $548 4093%
Premier Hospice $548 4093%
Principal Mutual Life Ins $548 4093%
Protective Life Ins $548 4093%
Ruston Regional Specialty $548 4093%
Specialty Hosp Of Winnfie $548 4093%
State Farm Insurance $548 4093%
State Mutual Ins $548 4093%
Sterling Investors Life $548 4093%
The Hartford $548 4093%
Union Bankers Insurance C $548 4093%
Union Fidelity Life Ins $548 4093%
United American $548 4093%
United Teachers Ins $548 4093%
Us Dept Of Labor $548 4093%
Washington National Ins $548 4093%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals