CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Owatonna Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $25
Cash Discount Price: $19
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Owatonna Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.87x the Medicare baseline. Located in 2250 26Th Street Northwest, Owatonna, MN.

Cash / Self-Pay

$19

Average discount available for prompt cash payment at this facility.

Insurance Median

$25

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: $19 (142%)

Insurance Median: $25 (187%)

Cash: $19 (142% of Medicare)

Ins. Median: $25 (187% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Ucare Pmap (A B C D E G N O S U R H)	$6 - $11	45%
Aetna	$12 - $33	90%
Medicaid / KanCare	$13	97%
Medicare (plans)	$13	97%
Blue Cross Blue Shield	$14 - $62	105%
Medica	$14 - $42	105%
Medica Health System	$14 - $44	105%
South Country Health Alliance	$14	105%
Healthpartners	$19 - $37	142%
Medica Ubh (O)	$19 - $46	142%
UnitedHealthcare	$19 - $38	142%
Health Partners	$20 - $41	149%
Americas Ppo (Araz)(B D N O R S V)	$21 - $43	157%
Medica Mhps	$21 - $42	157%
Medica Ubh Pmap	$22 - $44	164%
Americas Ppo (Araz) (B D N H O R S)	$23 - $46	172%
First Health (A C E G H U B D N O R S)	$23 - $46	172%
All Other Contracted Care (A B C D E G H N O R S U)	$28 - $55	209%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $19.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80061.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Owatonna Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80061.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.