CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Mercy Hospital Southeast

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $22
  • Cash Discount Price: $182
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Mercy Hospital Southeast is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $182. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.64x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$182

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $182 (1359%)
Insurance Median: $22 (164%)
Cash: $182 (1359% of Medicare)
Ins. Median: $22 (164% 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
Medicaid / KanCare $12 - $42 90%
Aetna $13 - $179 97%
Blue Cross Blue Shield $13 - $266 97%
Cross Timbers Hospice [20098] $13 97%
Dept Of Veteran Affairs Contracted [320106] $13 97%
Elara Caring Aspire Hospice Contracted [320433] $13 97%
Elara Caring Aspire Hospice [20433] $13 97%
Halo Hcr Inc Hospice Contracted [320432] $13 97%
Halo Hcr Inc Hospice [20432] $13 97%
Humana $13 - $238 97%
Kindful Hospice Contracted [320434] $13 97%
Kindful Hospice [20434] $13 97%
Medicare (plans) $13 - $14 97%
Mercy Hospice Okc [20252] $13 97%
Pace Of The Ozarks Contracted [320518] $13 97%
Tricare $13 97%
UnitedHealthcare $13 - $32 97%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $14 105%
Provider Partners Health Plans Contracted [320450] $15 112%
United Medical Resources Contracted [320454] $16 119%
Ambetter / Centene $17 127%
Home State Health Plan Contracted [320187] $17 127%
Consociate Consolidated Health Contracted [320490] $18 - $30 134%
Auxiant Contracted [320462] $22 - $26 164%
Centivo Contracted [320505] $22 164%
Ebms Contracted [320493] $22 164%
Healthlink Contracted [320179] $22 - $218 164%
Imagine 360 Contracted [320494] $22 164%
Mercy Benefit Admin Contracted [320251] $22 - $190 164%
Yuzu Health Contracted [320521] $22 - $190 164%
Preferred Health Plan Contracted [320522] $23 172%
Reflect Health Contracted [320492] $23 172%
Hope Trust Contracted [320488] $33 246%
Cigna $36 269%
First Health Contracted [320128] $179 1337%
Health Alliance Contracted [320164] $182 1359%
Aither Health Contracted [320449] $190 1419%
Edison Health Solutions Contracted [320502] $190 1419%
Mercy Benefit Admin [20251] $190 1419%
Workers Comp [20426] $210 - $224 1568%
Multiplan Contracted [320270] $224 1673%
Private Health Care Systems Contracted [320320] $224 1673%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals