CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Salem Memorial District Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $24
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Salem Memorial District Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.79x the Medicare baseline. Located in Po Box 774, Salem, MO.
Cash / Self-Pay
$21

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $21 (157%)
Insurance Median: $24 (179%)
Cash: $21 (157% of Medicare)
Ins. Median: $24 (179% 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
Aetna $3 - $198 22%
Ambetter / Centene $3 - $75 22%
Blue Cross Blue Shield $3 - $209 22%
Humana $3 - $187 22%
Tricare $3 - $75 22%
Triwest $3 - $75 22%
UnitedHealthcare $3 - $75 22%
Veteran'S Affairs $3 - $75 22%
Healthlink $6 - $143 45%
Cigna $7 - $187 52%
First Health $7 - $176 52%
Mercy - C.B. Management Company/Joplin Supply Company $7 - $176 52%
Mercy - City Of Springfield $7 - $176 52%
Mercy - Clayco $7 - $176 52%
Mercy - Commerce Bank $7 - $176 52%
Mercy - Diversified Plastics $7 - $176 52%
Mercy - Employers Benefit Alliance $7 - $176 52%
Mercy - Evolutions $7 - $176 52%
Mercy - Fabick Cat $7 - $176 52%
Mercy - Firsthealth Network $7 - $176 52%
Mercy - Health Management Network $7 - $176 52%
Mercy - Health Systems Inc $7 - $176 52%
Mercy - Liberty Utilities/Empire District Electric $7 - $176 52%
Mercy - Life Church $7 - $176 52%
Mercy - Missouri State University $7 - $176 52%
Mercy - Prime Health Services $7 - $176 52%
Mercy - Quiktrip Corporation $7 - $176 52%
Mercy - Shinesolar $7 - $176 52%
Mercy - Springfield Public Schools $7 - $176 52%
Mercy - Springfield Remanufacturing $7 - $176 52%
Mercy - Sumnerone $7 - $176 52%
Mercy - Trailiner $7 - $176 52%
Mercy - Walmart Mercy Accountable Care Plan $7 - $176 52%
Mercy-American Healthcare Alliance $7 - $176 52%
Phcs $7 - $187 52%
Mercy - Compresults $8 - $198 60%
Mercy - Corvel Corporation $8 - $198 60%
Mercy - Novasys $8 - $198 60%
Mercy - Scurlock Industries $8 - $198 60%
Mercy - Usa Managed Care Organization $8 - $198 60%
Right Choice-Alliance $8 - $209 60%
Right Choice-Regular $8 - $214 60%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Po Box 774, Salem, MO 65560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals