CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Claiborne Memorial Medical Center
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $55
- Cash Discount Price: $78
- vs. Medicare Baseline: 4.11x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Claiborne Memorial Medical Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 4.11x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$78
Average discount available for prompt cash payment at this facility.
Insurance Median
$55
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: $78 (583%)
Insurance Median: $55 (411%)
Cash: $78 (583% of Medicare)
Ins. Median: $55 (411% 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 411% of the Medicare baseline (a markup of 311%). 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.
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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 - $51 | 97% |
| Amerihealth Caritas La | $13 - $34 | 97% |
| Arcadian Community Mcr Hm | $13 | 97% |
| Blue Cross Blue Shield | $13 - $65 | 97% |
| Champus | $13 | 97% |
| Champva | $13 | 97% |
| Cigna | $13 - $59 | 97% |
| Community Health Solution | $13 - $34 | 97% |
| Correctcare Intergrated | $13 - $34 | 97% |
| Healthy Blue | $13 - $34 | 97% |
| Healthy Blue Dual Adv | $13 | 97% |
| Humana | $13 - $78 | 97% |
| Kaiser Foundation Health | $13 | 97% |
| Louisiana Hc Connections | $13 - $34 | 97% |
| Magellan Services | $13 - $34 | 97% |
| Medicaid / KanCare | $13 - $34 | 97% |
| Medicare (plans) | $13 | 97% |
| Peoples Health Network | $13 | 97% |
| Pyramid Claims Mcr Hmo | $13 | 97% |
| Sterling Connect 2 | $13 | 97% |
| Sterling Premier Mc Hmo | $13 | 97% |
| Superior Health Mcr Hmo | $13 | 97% |
| Tenet Mcr Hmo | $13 | 97% |
| Tricare | $13 | 97% |
| United Hc Mcr Hmo | $13 | 97% |
| UnitedHealthcare | $13 - $34 | 97% |
| Universal Hc Mcr Hmo | $13 | 97% |
| Us Dept Of Labor | $13 | 97% |
| Vantage Health Mcr Hmo | $13 | 97% |
| Windsor Sterling Mcr Hmo | $13 | 97% |
| Wps Mvh Vapc3 | $13 | 97% |
| All Savers | $16 | 119% |
| Golden Rule Ins Co | $16 | 119% |
| United Behavioral Health | $16 | 119% |
| Vantage Health Plan Inc | $17 | 127% |
| Ambetter / Centene | $18 | 134% |
| Commercial Insurance | $31 - $78 | 232% |
| Meritain Health | $31 - $51 | 232% |
| Coventry Healthcare | $47 | 351% |
| Geha | $55 | 411% |
| Health Plus Of La | $55 - $59 | 411% |
| Apwu Healthplan | $59 | 441% |
| Great West Healthcare | $59 | 441% |
| Phcs | $63 | 471% |
| Ppo Plus | $63 | 471% |
| Sedgwick Claims Mgmt Serv | $70 - $88 | 523% |
| Workman'S Comp | $70 - $88 | 523% |
| Aarp | $78 | 583% |
| Accordia National | $78 | 583% |
| Aflac | $78 | 583% |
| Alameda Alliance Forhealt | $78 | 583% |
| American Pioneer | $78 | 583% |
| Benefit Management | $78 | 583% |
| Benesys Inc | $78 | 583% |
| Business Guarantor | $78 | 583% |
| Chubb | $78 | 583% |
| Commercial Sr. Care | $78 | 583% |
| Employee Benefit Services | $78 | 583% |
| Family Life Insurance Co | $78 | 583% |
| Farm Bureau Insurance | $78 | 583% |
| Fiserv Health Benefit | $78 | 583% |
| Gmp | $78 | 583% |
| Group And Pension Admin | $78 | 583% |
| Group Resources | $78 | 583% |
| Haik Minvielle And Grubbs | $78 | 583% |
| Harrington Benefit Svs | $78 | 583% |
| Health Design Plus | $78 | 583% |
| Health Plan | $78 | 583% |
| Healthscope Benefits | $78 | 583% |
| Insurance Management Admi | $78 | 583% |
| Jefferson National | $78 | 583% |
| John Alden Health Ins | $78 | 583% |
| John Hancock | $78 | 583% |
| Liberty Mutual | $78 | 583% |
| Mailhandlers Benefit Plan | $78 | 583% |
| Manhattan Life Ins Co | $78 | 583% |
| Mega Life And Health | $78 | 583% |
| Msa Careguard | $78 | 583% |
| Mutual Of Omaha | $78 | 583% |
| Nalc Health Benefit Plan | $78 | 583% |
| Naphcare Inc. | $78 | 583% |
| New Era Life Ins Co | $78 | 583% |
| Physicians Mutual | $78 | 583% |
| Principal Financial Group | $78 | 583% |
| Prudential Healthcare | $78 | 583% |
| Self Pay | $78 | 583% |
| State Farm | $78 | 583% |
| State Farm Insurance | $78 | 583% |
| State Mutual Insurance Co | $78 | 583% |
| Sterling Investors Life | $78 | 583% |
| Tower Life | $78 | 583% |
| Transamerica Premier Ins | $78 | 583% |
| United American | $78 | 583% |
| United Comm Travelers | $78 | 583% |
| United Teachers | $78 | 583% |
| Usable Administrator | $78 | 583% |
| Visn 16 Cfu | $78 | 583% |
| Wausau Benefits | $78 | 583% |
| Webtpa | $78 | 583% |
| Wells Fargo | $78 | 583% |
| Woodmen Of The World | $78 | 583% |