CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $17
Cash Discount Price: $106
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Surgical Specialty Center of Baton Rouge is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.27x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.

Cash / Self-Pay

$106

Average discount available for prompt cash payment at this facility.

Insurance Median

$17

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: $106 (792%)

Insurance Median: $17 (127%)

Cash: $106 (792% of Medicare)

Ins. Median: $17 (127% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Uhc_Commcoffee	$8	60%
Aetna	$12 - $14	90%
Amerihealth	$12	90%
Healthy_Blue	$12	90%
Humana	$12 - $20	90%
Lhc	$12	90%
Medicaid / KanCare	$12	90%
United_Caid	$12	90%
Blue Cross Blue Shield	$13 - $17	97%
Cigna	$13	97%
Medadv-Peoples	$13	97%
Medicare (plans)	$13	97%
Tricare	$13	97%
United	$13	97%
UnitedHealthcare	$13	97%
Va	$13	97%
Verity	$14	105%
Wellcare	$14	105%
Lucent	$19	142%
Ambetter / Centene	$25	187%
Workcomp_Saints	$31	232%
Lsufirst	$32	239%
Gilsbar	$69	515%
Multiplan-Pos	$85	635%
Multiplan-Ppo	$85	635%
Ppoplus	$86	642%
Stjude	$92	687%
Bayou-Med	$99	739%
Dma	$99	739%
Lsu	$99	739%
Southern-Univ	$99	739%
Womans_Hosp	$99	739%
Reny	$106	792%
Ehn	$113	844%
Workcomp_3R	$114	851%
Three_Rivers	$120	896%
Workcomp_Strat	$120	896%
Geha	$124	926%
Workcomp_Fp	$127	948%
Usa_Mco	$133	993%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $106.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80061.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Surgical Specialty Center of Baton Rouge is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80061.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.