CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Holland Community Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $19
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Holland Community Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.42x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $38 (284%)
Insurance Median: $19 (142%)
Cash: $38 (284% of Medicare)
Ins. Median: $19 (142% 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
Multiplan - All Plans $7 - $63 52%
Nomi Health - All Plans $7 - $84 52%
UnitedHealthcare $7 - $72 52%
Meridian Mcaid Profee Only-All Plans $11 82%
Molina Mcaid - All Plans $11 - $23 82%
Ph Mcaid $11 - $23 82%
Health Alliance Mcr Adv $13 97%
Life Circles-All Plans $13 97%
Ph Mcr Adv $13 97%
Va Ccn - All Plans $13 97%
Aetna $14 - $18 105%
Cigna $14 - $27 105%
Longevity Health Plan-All Plans $14 105%
Priority Health - All Other Plans $14 - $30 105%
Cofinity -All Plans $15 - $16 112%
Blue Care Network - All Plans $17 127%
Blue Cross Blue Shield $17 - $18 127%
First Health-All Plans $17 - $65 127%
Asr - All Plans $20 - $31 149%
Health Alliance Ahl - All Other Plans $20 - $31 149%
Health Alliance Hmo $20 - $31 149%
Sisco Epi $21 157%
Sisco-All Other Plans $21 - $23 157%
Benefit Source Inc-All Plans $42 - $65 314%
Usa Managed Care-All Plans $48 - $65 358%
Integrated Health Plans-All Plans $50 - $68 373%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 602 Michigan Ave, Holland, MI 49423
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals