CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $18
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Poplar Bluff Regional Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.34x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$39

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $39 (291%)
Insurance Median: $18 (134%)
Cash: $39 (291% of Medicare)
Ins. Median: $18 (134% 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
Blue Cross Blue Shield $3 - $289 22%
Medicaid / KanCare $3 - $223 22%
Self Pay $3 - $268 22%
Cigna $7 - $892 52%
Evolutions Healthcare $7 - $608 52%
Tyson Foods $7 - $613 52%
UnitedHealthcare $7 - $600 52%
Access Health Services, Llc $8 - $635 60%
Healthlink $8 - $697 60%
Parker Hannifin $8 - $780 60%
First Health $9 - $725 67%
Blue Traditional $10 - $860 75%
Coventry Wc $11 - $892 82%
Municipal Health $11 - $892 82%
Tricare $11 - $12 82%
Compresults Wc $12 - $1,003 90%
Multiplan $12 - $970 90%
Node Champva $12 90%
Phcs $12 - $970 90%
Blue Access $13 97%
Centurion Correctional $13 - $17 97%
Humana $13 97%
Medicare (plans) $13 97%
Node Hospice Non Par Agree $13 97%
Node United Behavioral Health Mcr Adv $13 97%
Node Va $13 97%
Veterans Eval Services $13 97%
Node Ahs Mcr Adv $14 105%
Node Devoted Health Mcr Adv $14 105%
Node Pphp Mcr Adv $15 112%
Us Department Of Labor $17 127%
Naphcare $25 187%
Home State Exchange $33 246%
W W Wood $33 246%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals