CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Henry Ford Health Warren Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $14
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Henry Ford Health Warren Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 11800 East Twelve Mile Road, Warren, MI.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $24 (179%)
Insurance Median: $14 (105%)
Cash: $24 (179% of Medicare)
Ins. Median: $14 (105% 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
Aetna $13 97%
Amerihealth Vip Care $13 97%
Harbor Advantage Hmo $13 97%
Medicare (plans) $13 - $14 97%
Tricare $13 97%
Veterans Choice $13 97%
Humana $14 105%
Meridian Wellcare $14 105%
Molina Advantage $14 105%
Molina Health Link $14 105%
Total Health Care $14 105%
Ambetter / Centene $17 127%
Molina Market Place $17 127%
Phcs Pos $17 127%
Phcs Ppo $17 127%
Ahlic $19 142%
Hap Hmo $19 142%
Hap Preferred $19 142%
Smarthealth $19 142%
Priority Hmo $21 157%
Aaa-Auto Insurance $25 187%
Ppom $26 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11800 East Twelve Mile Road, Warren, MI 48093
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals