CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Moberly Regional Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $39
  • Cash Discount Price: $54
  • vs. Medicare Baseline: 2.91x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Moberly Regional Medical Center is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 2.91x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
$54

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $54 (403%)
Insurance Median: $39 (291%)
Cash: $54 (403% of Medicare)
Ins. Median: $39 (291% 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 291% of the Medicare baseline (a markup of 191%). 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.

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
Medicaid / KanCare $12 - $20 90%
Tricare $12 90%
Blue Access $13 97%
Blue Cross Blue Shield $13 - $52 97%
Blue Preferred $13 97%
Medicare (plans) $13 97%
Node Va $13 97%
Pathway/Pathway X $13 97%
UnitedHealthcare $13 - $111 97%
Veterans Eval Services $13 97%
Node Devoted Health Mcr Adv $14 105%
Centurion Correctional $17 127%
Corizon $17 127%
Us Department Of Labor $17 127%
Home State Health Plan $20 - $25 149%
Healthscope Benefits $22 164%
Naphcare $25 187%
United Behavioral Health Mcd $29 217%
Self Pay $39 - $70 291%
Cigna $45 336%
Access Health Services, Llc $94 702%
Aetna $95 - $116 709%
Healthlink $101 - $116 754%
Blue Traditional $104 - $108 777%
Multiplan Primary $109 814%
Coventry Wc $116 866%
Multiplan $117 874%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals