CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Chelsea Hospital
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $74
- Cash Discount Price: $73
- vs. Medicare Baseline: 5.53x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Chelsea Hospital is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 5.53x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$73
Average discount available for prompt cash payment at this facility.
Insurance Median
$74
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: $73 (545%)
Insurance Median: $74 (553%)
Cash: $73 (545% of Medicare)
Ins. Median: $74 (553% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 553% of the Medicare baseline (a markup of 453%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 |
|---|---|---|
| Blue Cross Blue Shield | $7 - $19 | 52% |
| Medicaid / KanCare | $7 | 52% |
| Aetna | $13 - $53 | 97% |
| Align Senior Care | $13 | 97% |
| Angela Hospice | $13 | 97% |
| Arbor Hospice | $13 | 97% |
| Blue Care Network Advantage | $13 | 97% |
| Heartland Hospice | $13 | 97% |
| Medicare (plans) | $13 | 97% |
| Cca - Zing Health | $14 | 105% |
| UnitedHealthcare | $14 - $75 | 105% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $15 | 112% |
| Molina Marketplace | $17 | 127% |
| Bcn Domestic | $19 | 142% |
| Blue Benefit Administrators Of Massachusetts | $19 | 142% |
| Blue Care Network | $19 | 142% |
| Blue Distinction Transplant | $19 | 142% |
| Blue Shield - Ca | $19 | 142% |
| Blue Shield - Id (Regence) | $19 | 142% |
| Blue Shield - Ny Highmark Northeastern | $19 | 142% |
| Blue Shield - Ny Highmark Western | $19 | 142% |
| Blue Shield - Pa (Highmark) | $19 | 142% |
| Blue Shield - Wa (Regence) | $19 | 142% |
| Health Choices | $19 - $74 | 142% |
| Kaiser Domestic | $19 | 142% |
| Geha | $20 - $75 | 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% |
| Wc Accident Fund | $30 | 224% |
| Wc Advantage | $30 | 224% |
| Wc Aig | $30 | 224% |
| Wc Allied | $30 | 224% |
| Wc Amerisure | $30 | 224% |
| Wc Amtrust | $30 | 224% |
| Wc Asu Risk Mgt | $30 | 224% |
| Wc Berkley Admin | $30 | 224% |
| Wc Broadspire | $30 | 224% |
| Wc Bunch & Associates | $30 | 224% |
| Wc Ccmsi | $30 | 224% |
| Wc Emc Insurance Company | $30 | 224% |
| Wc Esis | $30 | 224% |
| Wc Fcci | $30 | 224% |
| Wc Federated | $30 | 224% |
| Wc Gallagher Bassett | $30 | 224% |
| Wc Genex Care For Ohio | $30 | 224% |
| Wc Guard Insurance Company | $30 | 224% |
| Wc Hartford | $30 | 224% |
| Wc Liberty Mutual | $30 | 224% |
| Wc Meijers | $30 | 224% |
| Wc Michigan | $30 | 224% |
| Wc Mitchell Frankenmuth | $30 | 224% |
| Wc Pma | $30 | 224% |
| Wc Sedgwick | $30 | 224% |
| Wc Sentry | $30 | 224% |
| Wc Travelers | $30 | 224% |
| Wc Tristar | $30 | 224% |
| Wc Walmart | $30 | 224% |
| Wc Zurich | $30 | 224% |
| Priority Health | $32 - $36 | 239% |
| Asr Health Benefits | $46 | 344% |
| Caresource | $46 | 344% |
| Hap | $46 - $87 | 344% |
| Varipro | $46 | 344% |
| Access Health | $74 | 553% |
| Acclaim | $74 | 553% |
| Administrative Concepts | $74 | 553% |
| Allegeant | $74 | 553% |
| Ameriben | $74 | 553% |
| American Family | $74 | 553% |
| American Healthcare Alliance | $74 | 553% |
| American National | $74 | 553% |
| American Republic | $74 | 553% |
| Amerihealth | $74 | 553% |
| Aultcare | $74 | 553% |
| Automated Benefit Services | $74 | 553% |
| Auxiant | $74 | 553% |
| Benefit Administrative Systems,Llc | $74 | 553% |
| Boon Chapman | $74 | 553% |
| Cam Administrative Services | $74 | 553% |
| Christian Brother Services | $74 | 553% |
| Christian Brothers Holy Cross | $74 | 553% |
| Comprehensive Benefits | $74 | 553% |
| Continental Life Insurance | $74 | 553% |
| Custom Benefit Administrators | $74 | 553% |
| Employee Benefit Concepts | $74 | 553% |
| Employee Benefit Management | $74 | 553% |
| Enterprise Group Planning | $74 | 553% |
| Freedom Life Insurance Company | $74 | 553% |
| Group Administrators | $74 | 553% |
| Group Marketing Services | $74 | 553% |
| Guardian | $74 | 553% |
| Health America | $74 | 553% |
| Healthcare Management Admin | $74 | 553% |
| Healthez | $74 | 553% |
| Humana | $74 | 553% |
| Insight | $74 | 553% |
| Intercare | $74 | 553% |
| Jfp Benefit Management | $74 | 553% |
| Jp Farley Corporation | $74 | 553% |
| Key Benefit Administrator | $74 | 553% |
| Liberty Union Life Assurance Co | $74 | 553% |
| Lucent Health | $74 | 553% |
| Luminare Health | $74 | 553% |
| Luminare Health (Detroit) | $74 | 553% |
| Magnacare | $74 | 553% |
| Medben | $74 | 553% |
| Medcost | $74 | 553% |
| Medical Mutual | $74 | 553% |
| Mutual Health Services | $74 | 553% |
| Mutual Of Omaha | $74 | 553% |
| Ncas | $74 | 553% |
| Nippon Life Ins | $74 | 553% |
| Nova | $74 | 553% |
| Painters Union Insurance Fund | $74 | 553% |
| Physicians Mutual | $74 | 553% |
| Plumbers Local 98 Insurance Fund | $74 | 553% |
| Prairie States | $74 | 553% |
| Preferred One | $74 | 553% |
| Primary Physician Care | $74 | 553% |
| Professional Benefit Administrators | $74 | 553% |
| Siho Insurance Services | $74 | 553% |
| Sisco Benefits | $74 | 553% |
| The Loomis Company | $74 | 553% |
| Unicare | $74 | 553% |
| Us Health And Life | $74 | 553% |
| Valenz | $74 | 553% |
| Western & Southern Financial Group | $74 | 553% |
| Wps | $74 | 553% |
| Coventry | $77 | 575% |
| First Health | $77 | 575% |
| Hospice Of Michigan | $78 | 583% |
| Cigna | $79 | 590% |
| 1199 National Benefit Fund | $84 | 627% |
| Allied National Global Care | $84 | 627% |
| Asrm - Reliance Standard Life Insurance | $84 | 627% |
| Christian Care Ministry | $84 | 627% |
| Dean Health | $84 | 627% |
| Fallon Health | $84 | 627% |
| Family Life Insurance Company | $84 | 627% |
| Ghc Scw | $84 | 627% |
| Group Pension Administrators | $84 | 627% |
| International Benefit Administrators | $84 | 627% |
| Lifetime Benefit Solutions | $84 | 627% |
| Manhattan Life | $84 | 627% |
| Medi Share | $84 | 627% |
| Multiplan | $84 | 627% |
| Mvp | $84 | 627% |
| Pai | $84 | 627% |
| Pan-American Life | $84 | 627% |
| Paramount Hmo | $84 | 627% |
| Phcs | $84 | 627% |
| Trinity Health Share | $84 | 627% |
| Health Partners | $87 | 650% |
| Tufts Health Plan | $87 | 650% |
| Prime Health Services | $90 | 672% |
| Three Rivers Provider Network | $101 | 754% |
| Cmh Detroit Wayne Integrated Health Network | $112 | 836% |
| Cmh Jackson County/Lifeways | $112 | 836% |
| Cmh Lenawee County | $112 | 836% |
| Cmh Livingston County | $112 | 836% |
| Cmh Misc | $112 | 836% |
| Cmh Monroe County | $112 | 836% |
| Cmh Washtenaw County | $112 | 836% |
| Magellan Behavioral Health | $112 | 836% |