CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Ste Genevieve County Memorial Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $23
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 1.72x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Ste Genevieve County Memorial Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.72x the Medicare baseline. Located in Hwys 61 & 32, Sainte Genevieve, MO.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $23 (172%)
Insurance Median: $23 (172%)
Cash: $23 (172% of Medicare)
Ins. Median: $23 (172% 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 $6 - $107 45%
Allwell $6 - $36 45%
Blue Cross Blue Shield $6 - $103 45%
Medicare (plans) $6 - $35 45%
Va $6 - $35 45%
Pphp $7 - $40 52%
Ambetter / Centene $8 - $44 60%
Medicaid / KanCare $12 90%
UnitedHealthcare $12 - $70 90%
Healthy_Blue $13 97%
Homestate $13 97%
Uhc_Community $13 97%
Meritain $19 - $107 142%
Cigna $20 - $114 149%
Multiplan/Phcs $21 - $119 157%
Healthlink_Compmanagement $98 732%
Healthlink_Hmo $98 732%
Healthlink_Ppo $98 732%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Hwys 61 & 32, Sainte Genevieve, MO 63670
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals