CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Merit Health Madison

Billing Code: 80061 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$14
about 1.1× the $13 Medicare rate · typically $13–$19
modeled estimate · not a bill or quote
What this hospital charges insurers
$14
About the fair price
1.1× Medicare
Medicare pays $13 Fair price $14 This hospital $14 Cash price $42 Hospital's list price $106

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

Highest price of the 9 MS hospitals we have prices for — worth calling around.

Cheapest $9 Priciest $14

Black dot = this hospital, among the 9 MS hospitals with a price for this procedure. Full list below.

A fair price for a Blood test, cholesterol (lipid panel) is about $14 (about 1.1× the $13 Medicare rate). Merit Health Madison charges insurers about $14, or about $42 in cash — about the fair price. Located in Canton, MS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $12 90%
Blue Cross Blue Shieldmajor $19 142%
Cignamajor $13 97%
Humanamajor $14 105%
Ambetter (Centene) $34 254%
Devoted Health $14 105%
Molina $12 - $29 90%
WellCare $14 105%
+ 6 smaller / regional plans $13 - $27
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 161 River Oaks Drive, Canton, MS 39046
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals