CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Trinity Health Muskegon Hospital
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $20
- Cash Discount Price: $30
- vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Trinity Health Muskegon Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.49x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$30
Average discount available for prompt cash payment at this facility.
Insurance Median
$20
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: $30 (224%)
Insurance Median: $20 (149%)
Cash: $30 (224% of Medicare)
Ins. Median: $20 (149% 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 |
|---|---|---|
| Aetna | $2 - $37 | 15% |
| Acs Benefit Services | $3 - $45 | 22% |
| Allied Benefit Systems | $3 - $45 | 22% |
| Asr Health Benefits | $3 - $46 | 22% |
| Caresource | $3 - $55 | 22% |
| Cigna | $3 - $55 | 22% |
| Claimchoice Adminstrators | $3 - $45 | 22% |
| Consociate | $3 - $45 | 22% |
| Cypress Benefit Administrators | $3 - $45 | 22% |
| Forest County Potawatomi | $3 - $45 | 22% |
| Hap | $3 - $69 | 22% |
| Health Smart | $3 - $45 | 22% |
| Healthgram | $3 - $45 | 22% |
| Healthscope | $3 - $45 | 22% |
| Hospice Of Michigan | $3 - $48 | 22% |
| Nomi Health | $3 - $49 | 22% |
| Preferred One | $3 - $45 | 22% |
| Secureone Preferred United Plans | $3 - $45 | 22% |
| Sisco Benefits | $3 - $45 | 22% |
| The Health Plan | $3 - $45 | 22% |
| Trustmark Small Business Benefits | $3 - $45 | 22% |
| Unified Group Services | $3 - $45 | 22% |
| Varipro | $3 - $50 | 22% |
| Wc Accident Fund | $3 - $46 | 22% |
| Wc Advantage | $3 - $46 | 22% |
| Wc Aig | $3 - $46 | 22% |
| Wc Allied | $3 - $46 | 22% |
| Wc Amerisure | $3 - $46 | 22% |
| Wc Amtrust | $3 - $46 | 22% |
| Wc Asu Risk Mgt | $3 - $46 | 22% |
| Wc Berkley Admin | $3 - $46 | 22% |
| Wc Broadspire | $3 - $46 | 22% |
| Wc Bunch & Associates | $3 - $46 | 22% |
| Wc Ccmsi | $3 - $46 | 22% |
| Wc Emc Insurance Company | $3 - $46 | 22% |
| Wc Esis | $3 - $46 | 22% |
| Wc Fcci | $3 - $46 | 22% |
| Wc Federated | $3 - $46 | 22% |
| Wc Gallagher Bassett | $3 - $46 | 22% |
| Wc Genex Care For Ohio | $3 - $46 | 22% |
| Wc Guard Insurance Company | $3 - $46 | 22% |
| Wc Hartford | $3 - $46 | 22% |
| Wc Liberty Mutual | $3 - $46 | 22% |
| Wc Meijers | $3 - $46 | 22% |
| Wc Michigan | $3 - $46 | 22% |
| Wc Mitchell Frankenmuth | $3 - $46 | 22% |
| Wc Pma | $3 - $46 | 22% |
| Wc Sedgwick | $3 - $46 | 22% |
| Wc Sentry | $3 - $46 | 22% |
| Wc Travelers | $3 - $46 | 22% |
| Wc Tristar | $3 - $46 | 22% |
| Wc Walmart | $3 - $46 | 22% |
| Wc Zurich | $3 - $46 | 22% |
| Webtpa | $3 - $45 | 22% |
| 1199 National Benefit Fund | $4 - $65 | 30% |
| Acclaim | $4 - $69 | 30% |
| Administrative Concepts | $4 - $69 | 30% |
| Allegeant | $4 - $69 | 30% |
| Allied National Global Care | $4 - $65 | 30% |
| Ameriben | $4 - $69 | 30% |
| American Family | $4 - $69 | 30% |
| American Healthcare Alliance | $4 - $69 | 30% |
| American Republic | $4 - $69 | 30% |
| Amerihealth | $4 - $69 | 30% |
| Asrm - Reliance Standard Life Insurance | $4 - $65 | 30% |
| Aultcare | $4 - $69 | 30% |
| Automated Benefit Services | $4 - $69 | 30% |
| Auxiant | $4 - $69 | 30% |
| Benefit Administrative Systems,Llc | $4 - $69 | 30% |
| Boon Chapman | $4 - $69 | 30% |
| Cam Administrative Services | $4 - $69 | 30% |
| Christian Brother Services | $4 - $69 | 30% |
| Christian Brothers Holy Cross | $4 - $69 | 30% |
| Christian Care Ministry | $4 - $65 | 30% |
| Comprehensive Benefits | $4 - $69 | 30% |
| Continental Life Insurance | $4 - $69 | 30% |
| Custom Benefit Administrators | $4 - $69 | 30% |
| Dean Health | $4 - $65 | 30% |
| Employee Benefit Concepts | $4 - $69 | 30% |
| Employee Benefit Management | $4 - $69 | 30% |
| Enterprise Group Planning | $4 - $69 | 30% |
| Fallon Health | $4 - $65 | 30% |
| Family Life Insurance Company | $4 - $65 | 30% |
| First Health | $4 - $71 | 30% |
| Freedom Life Insurance Company | $4 - $69 | 30% |
| Geha | $4 - $77 | 30% |
| Ghc Scw | $4 - $65 | 30% |
| Group Administrators | $4 - $69 | 30% |
| Group Marketing Services | $4 - $69 | 30% |
| Group Pension Administrators | $4 - $65 | 30% |
| Guardian | $4 - $69 | 30% |
| Health America | $4 - $69 | 30% |
| Health Choices | $4 - $69 | 30% |
| Healthez | $4 - $69 | 30% |
| Humana | $4 - $69 | 30% |
| Insight | $4 - $69 | 30% |
| Intercare | $4 - $69 | 30% |
| International Benefit Administrators | $4 - $65 | 30% |
| Jfp Benefit Management | $4 - $69 | 30% |
| Jp Farley Corporation | $4 - $69 | 30% |
| Key Benefit Administrator | $4 - $69 | 30% |
| Liberty Union Life Assurance Co | $4 - $69 | 30% |
| Lifetime Benefit Solutions | $4 - $65 | 30% |
| Lucent Health | $4 - $69 | 30% |
| Luminare Health | $4 - $69 | 30% |
| Luminare Health (Detroit) | $4 - $69 | 30% |
| Manhattan Life | $4 - $65 | 30% |
| Medben | $4 - $69 | 30% |
| Medcost | $4 - $69 | 30% |
| Medi Share | $4 - $65 | 30% |
| Medical Mutual | $4 - $69 | 30% |
| Multiplan | $4 - $65 | 30% |
| Mutual Health Services | $4 - $69 | 30% |
| Mutual Of Omaha | $4 - $69 | 30% |
| Mvp | $4 - $65 | 30% |
| Ncas | $4 - $69 | 30% |
| Nippon Life Ins | $4 - $69 | 30% |
| Nova | $4 - $69 | 30% |
| Pai | $4 - $65 | 30% |
| Painters Union Insurance Fund | $4 - $69 | 30% |
| Pan-American Life | $4 - $65 | 30% |
| Paramount Hmo | $4 - $65 | 30% |
| Phcs | $4 - $65 | 30% |
| Physicians Mutual | $4 - $69 | 30% |
| Plumbers Local 98 Insurance Fund | $4 - $69 | 30% |
| Prairie States | $4 - $69 | 30% |
| Primary Physician Care | $4 - $69 | 30% |
| Professional Benefit Administrators | $4 - $69 | 30% |
| The Loomis Company | $4 - $69 | 30% |
| Trinity Health Share | $4 - $65 | 30% |
| U Of M Health Plan | $4 - $69 | 30% |
| Unicare | $4 - $69 | 30% |
| UnitedHealthcare | $4 - $77 | 30% |
| Us Health And Life | $4 - $69 | 30% |
| Valenz | $4 - $69 | 30% |
| Western & Southern Financial Group | $4 - $69 | 30% |
| Wps | $4 - $69 | 30% |
| Barinet | $5 - $87 | 37% |
| Cmh Allegan County | $5 - $87 | 37% |
| Cmh Barry County | $5 - $87 | 37% |
| Cmh Berrien County | $5 - $87 | 37% |
| Cmh Cass County | $5 - $87 | 37% |
| Cmh Kalamazoo | $5 - $87 | 37% |
| Cmh Kent County | $5 - $87 | 37% |
| Cmh Misc | $5 - $87 | 37% |
| Cmh Muskegon County | $5 - $87 | 37% |
| Cmh North Country | $5 - $87 | 37% |
| Cmh Northern Lakes County | $5 - $87 | 37% |
| Cmh Ottawa County | $5 - $87 | 37% |
| Cmh Van Buren County | $5 - $87 | 37% |
| Cmh West Mi County | $5 - $87 | 37% |
| Blue Cross Blue Shield | $7 - $20 | 52% |
| Medicaid / KanCare | $7 | 52% |
| Access Health | $9 | 67% |
| Align Senior Care | $13 | 97% |
| Blue Care Network Advantage | $13 | 97% |
| Correctional Recovery | $13 | 97% |
| Heartland Hospice | $13 | 97% |
| Hospice Harbor Hospice | $13 | 97% |
| Medicare (plans) | $13 | 97% |
| Oscar | $13 | 97% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $15 | 112% |
| Molina Marketplace | $17 | 127% |
| Bcn Domestic | $20 | 149% |
| Blue Benefit Administrators Of Massachusetts | $20 | 149% |
| Blue Care Network | $20 | 149% |
| Blue Distinction Transplant | $20 | 149% |
| Blue Shield - Ca | $20 | 149% |
| Blue Shield - Id (Regence) | $20 | 149% |
| Blue Shield - Ny Highmark Northeastern | $20 | 149% |
| Blue Shield - Ny Highmark Western | $20 | 149% |
| Blue Shield - Pa (Highmark) | $20 | 149% |
| Blue Shield - Wa (Regence) | $20 | 149% |
| Kaiser Domestic | $20 | 149% |
| Meritain | $20 | 149% |
| Vitalcore | $21 | 157% |
| Wellpath | $21 | 157% |
| Priority Health | $80 - $89 | 597% |