CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: SSM Health St. Mary's Hospital - Jefferson City
Billing Code: 80061 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$37
about 2.8× the $13 Medicare rate · typically $23–$38
modeled estimate · not a bill or quote
Medicare pays $13 Fair price $37 Cash price $69 Hospital's list price $125
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $12 - $13 | 90% |
| Blue Cross Blue Shieldmajor | $14 - $82 | 105% |
| Humanamajor | $14 | 105% |
| Ambetter (Centene) | $13 | 97% |
| + 4 smaller / regional plans | $14 - $24 |
Self-Pay How to get the cash price
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Other Procedures at SSM Health St. Mary's Hospital - Jefferson City
Compare: Blood test, cholesterol (lipid panel) at other MO hospitals
- Cedar County Memorial Hospital · El Dorado Springs $12
- Bates County Memorial Hospital · Butler $13
- Mercy Hospital Lebanon · Lebanon $13
- Golden Valley Memorial Hospital · Clinton $13
- Saint Francis Medical Center · Cape Girardeau $13
- Mercy Hospital - Cassville · Cassville $13
- Cass Regional Medical Center · Harrisonville $13
- Mercy St Francis Hospital · Mountain View $13
Insurance negotiated median for the same procedure, sorted lowest first.