CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Trinity Health Oakland Hospital
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $26
- Cash Discount Price: $25
- vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Trinity Health Oakland Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.94x the Medicare baseline. Located in 44405 Woodward Ave, Pontiac, MI.
Cash / Self-Pay
$25
Average discount available for prompt cash payment at this facility.
Insurance Median
$26
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: $25 (187%)
Insurance Median: $26 (194%)
Cash: $25 (187% of Medicare)
Ins. Median: $26 (194% 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
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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 |
|---|---|---|
| Acs Benefit Services | $2 - $49 | 15% |
| Aetna | $2 - $51 | 15% |
| Allied Benefit Systems | $2 - $49 | 15% |
| Carelon Behavioral Health | $2 - $56 | 15% |
| Claimchoice Adminstrators | $2 - $49 | 15% |
| Consociate | $2 - $49 | 15% |
| Cypress Benefit Administrators | $2 - $49 | 15% |
| Forest County Potawatomi | $2 - $49 | 15% |
| Health Smart | $2 - $49 | 15% |
| Healthgram | $2 - $49 | 15% |
| Healthscope | $2 - $49 | 15% |
| Mclaren Health | $2 - $59 | 15% |
| Secureone Preferred United Plans | $2 - $49 | 15% |
| Sisco Benefits | $2 - $49 | 15% |
| The Health Plan | $2 - $49 | 15% |
| Trustmark Small Business Benefits | $2 - $49 | 15% |
| Unified Group Services | $2 - $49 | 15% |
| Wc Accident Fund | $2 - $34 | 15% |
| Wc Advantage | $2 - $34 | 15% |
| Wc Aig | $2 - $34 | 15% |
| Wc Allied | $2 - $34 | 15% |
| Wc Amerisure | $2 - $34 | 15% |
| Wc Amtrust | $2 - $34 | 15% |
| Wc Asu Risk Mgt | $2 - $34 | 15% |
| Wc Berkley Admin | $2 - $34 | 15% |
| Wc Broadspire | $2 - $34 | 15% |
| Wc Bunch & Associates | $2 - $34 | 15% |
| Wc Ccmsi | $2 - $34 | 15% |
| Wc Emc Insurance Company | $2 - $34 | 15% |
| Wc Esis | $2 - $34 | 15% |
| Wc Fcci | $2 - $34 | 15% |
| Wc Federated | $2 - $34 | 15% |
| Wc Gallagher Bassett | $2 - $34 | 15% |
| Wc Genex Care For Ohio | $2 - $34 | 15% |
| Wc Guard Insurance Company | $2 - $34 | 15% |
| Wc Hartford | $2 - $34 | 15% |
| Wc Liberty Mutual | $2 - $34 | 15% |
| Wc Meijers | $2 - $34 | 15% |
| Wc Michigan | $2 - $34 | 15% |
| Wc Mitchell Frankenmuth | $2 - $34 | 15% |
| Wc Pma | $2 - $34 | 15% |
| Wc Sedgwick | $2 - $34 | 15% |
| Wc Sentry | $2 - $34 | 15% |
| Wc Travelers | $2 - $34 | 15% |
| Wc Tristar | $2 - $34 | 15% |
| Wc Walmart | $2 - $34 | 15% |
| Wc Zurich | $2 - $34 | 15% |
| Webtpa | $2 - $49 | 15% |
| 1199 National Benefit Fund | $3 - $76 | 22% |
| Allied National Global Care | $3 - $76 | 22% |
| Asrm - Reliance Standard Life Insurance | $3 - $76 | 22% |
| Christian Care Ministry | $3 - $76 | 22% |
| Dean Health | $3 - $76 | 22% |
| Fallon Health | $3 - $76 | 22% |
| Family Life Insurance Company | $3 - $76 | 22% |
| Ghc Scw | $3 - $76 | 22% |
| Group Pension Administrators | $3 - $76 | 22% |
| International Benefit Administrators | $3 - $76 | 22% |
| Lifetime Benefit Solutions | $3 - $76 | 22% |
| Magellan Behavioral Health | $3 - $67 | 22% |
| Manhattan Life | $3 - $76 | 22% |
| Medi Share | $3 - $76 | 22% |
| Multiplan | $3 - $76 | 22% |
| Mvp | $3 - $76 | 22% |
| Pai | $3 - $76 | 22% |
| Pan-American Life | $3 - $76 | 22% |
| Paramount Hmo | $3 - $76 | 22% |
| Phcs | $3 - $76 | 22% |
| Trinity Health Share | $3 - $76 | 22% |
| Access Health | $4 - $82 | 30% |
| Acclaim | $4 - $82 | 30% |
| Administrative Concepts | $4 - $82 | 30% |
| Allegeant | $4 - $82 | 30% |
| Ameriben | $4 - $82 | 30% |
| American Family | $4 - $82 | 30% |
| American Healthcare Alliance | $4 - $82 | 30% |
| American National | $4 - $82 | 30% |
| American Republic | $4 - $82 | 30% |
| Amerihealth | $4 - $82 | 30% |
| Aultcare | $4 - $82 | 30% |
| Automated Benefit Services | $4 - $82 | 30% |
| Auxiant | $4 - $82 | 30% |
| Benefit Administrative Systems,Llc | $4 - $82 | 30% |
| Boon Chapman | $4 - $82 | 30% |
| Cam Administrative Services | $4 - $82 | 30% |
| Christian Brother Services | $4 - $82 | 30% |
| Christian Brothers Holy Cross | $4 - $82 | 30% |
| Cigna | $4 - $83 | 30% |
| Comprehensive Benefits | $4 - $82 | 30% |
| Continental Life Insurance | $4 - $82 | 30% |
| Coventry | $4 - $84 | 30% |
| Custom Benefit Administrators | $4 - $82 | 30% |
| Employee Benefit Concepts | $4 - $82 | 30% |
| Employee Benefit Management | $4 - $82 | 30% |
| Enterprise Group Planning | $4 - $82 | 30% |
| First Health | $4 - $84 | 30% |
| Freedom Life Insurance Company | $4 - $82 | 30% |
| Geha | $4 - $84 | 30% |
| Group Administrators | $4 - $82 | 30% |
| Group Marketing Services | $4 - $82 | 30% |
| Guardian | $4 - $82 | 30% |
| Hap | $4 - $82 | 30% |
| Health America | $4 - $82 | 30% |
| Health Choices | $4 - $82 | 30% |
| Health Partners | $4 - $82 | 30% |
| Healthcare Management Admin | $4 - $82 | 30% |
| Healthez | $4 - $82 | 30% |
| Humana | $4 - $82 | 30% |
| Insight | $4 - $82 | 30% |
| Intercare | $4 - $82 | 30% |
| Jfp Benefit Management | $4 - $82 | 30% |
| Jp Farley Corporation | $4 - $82 | 30% |
| Key Benefit Administrator | $4 - $82 | 30% |
| Liberty Union Life Assurance Co | $4 - $82 | 30% |
| Lucent Health | $4 - $82 | 30% |
| Luminare Health | $4 - $82 | 30% |
| Luminare Health (Detroit) | $4 - $82 | 30% |
| Magnacare | $4 - $82 | 30% |
| Medben | $4 - $82 | 30% |
| Medcost | $4 - $82 | 30% |
| Mutual Health Services | $4 - $82 | 30% |
| Mutual Of Omaha | $4 - $82 | 30% |
| Ncas | $4 - $82 | 30% |
| Nippon Life Ins | $4 - $82 | 30% |
| Nova | $4 - $82 | 30% |
| Painters Union Insurance Fund | $4 - $82 | 30% |
| Physicians Mutual | $4 - $82 | 30% |
| Plumbers Local 98 Insurance Fund | $4 - $82 | 30% |
| Prairie States | $4 - $82 | 30% |
| Preferred One | $4 - $82 | 30% |
| Primary Physician Care | $4 - $82 | 30% |
| Prime Health Services | $4 - $90 | 30% |
| Professional Benefit Administrators | $4 - $82 | 30% |
| Siho Insurance Services | $4 - $82 | 30% |
| The Loomis Company | $4 - $82 | 30% |
| Three Rivers Provider Network | $4 - $101 | 30% |
| Tufts Health Plan | $4 - $82 | 30% |
| Unicare | $4 - $82 | 30% |
| UnitedHealthcare | $4 - $84 | 30% |
| Us Health And Life | $4 - $82 | 30% |
| Valenz | $4 - $82 | 30% |
| Western & Southern Financial Group | $4 - $82 | 30% |
| Wps | $4 - $82 | 30% |
| Cmh Detroit Wayne Integrated Health Network | $5 - $112 | 37% |
| Cmh Lenawee County | $5 - $112 | 37% |
| Cmh Livingston County | $5 - $112 | 37% |
| Cmh Misc | $5 - $112 | 37% |
| Cmh Monroe County | $5 - $112 | 37% |
| Cmh Oakland County | $5 - $112 | 37% |
| Cmh Washtenaw County | $5 - $112 | 37% |
| Blue Cross Blue Shield | $7 - $16 | 52% |
| Medicaid / KanCare | $7 | 52% |
| Align Senior Care | $13 | 97% |
| Blue Care Network Advantage | $13 | 97% |
| Hospice Advantage | $13 | 97% |
| Medicare (plans) | $13 | 97% |
| Cca - Zing Health | $14 | 105% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $15 | 112% |
| Bcn Domestic | $16 | 119% |
| Blue Benefit Administrators Of Massachusetts | $16 | 119% |
| Blue Care Network | $16 | 119% |
| Blue Distinction Transplant | $16 | 119% |
| Blue Shield - Ca | $16 | 119% |
| Blue Shield - Id (Regence) | $16 | 119% |
| Blue Shield - Ny Highmark Northeastern | $16 | 119% |
| Blue Shield - Ny Highmark Western | $16 | 119% |
| Blue Shield - Pa (Highmark) | $16 | 119% |
| Blue Shield - Wa (Regence) | $16 | 119% |
| Kaiser Domestic | $16 | 119% |
| Molina Marketplace | $17 | 127% |
| Priority Health | $19 - $21 | 142% |
| Medical Mutual | $20 | 149% |
| Meritain | $20 | 149% |
| Health Cost Solutions | $21 | 157% |
| Vitalcore | $21 | 157% |
| Wellpath | $21 | 157% |
| U Of M Health Plan | $25 | 187% |
| Employee Benefit Logistic | $30 | 224% |
| Asr Health Benefits | $42 | 314% |
| Caresource | $42 | 314% |
| Varipro | $42 | 314% |