CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: West Carroll Memorial Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $13
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at West Carroll Memorial Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 0.97x the Medicare baseline. Located in 706 Ross Street, Oak Grove, LA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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%)
Insurance Median: $13 (97%)
Ins. Median: $13 (97% 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
Highmark Blue Shield $3 22%
Alternative Insurance Resources, Inc. $9 67%
Ambetter / Centene $9 67%
Golden Rule Insurance Company $9 67%
Hmo Of Louisiana $9 67%
Omaha Insurance Company $9 67%
UnitedHealthcare $9 - $13 67%
Medicaid / KanCare $11 - $13 82%
Aetna $13 - $75 97%
Amerihealth Caritas Louisiana $13 97%
Healthy Blue $13 97%
Humana $13 97%
Louisiana Healthcare Connections $13 97%
Blue Advantage $27 202%
Tricare $27 202%
Medicare (plans) $32 239%
Christian Care Medi-Share $40 299%
Cigna $70 523%
Insurance Systems Inc $75 560%
Loomis Co $75 560%
Novitas Solutions $88 657%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 706 Ross Street, Oak Grove, LA 71263
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals