CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Crossgates River Oaks Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $13
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Crossgates River Oaks Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 0.97x the Medicare baseline. Located in 350 Crossgates Blvd, Brandon, MS.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $6 (45%)
Insurance Median: $13 (97%)
Cash: $6 (45% of Medicare)
Ins. Median: $13 (97% 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
UnitedHealthcare $1 - $501 7%
Cigna $3 - $1,208 22%
Self Pay $4 - $483 30%
Trimed Billing Solutions $4 - $518 30%
Ms State Hospital Of Whitfield $5 - $656 37%
First Choice Standard $6 - $794 45%
First Choice Coventry $7 - $898 52%
First Choice Mpcn Standard $7 - $949 52%
First Choice Ppo Plus $7 - $949 52%
Phcs $8 - $1,036 60%
Aetna $9 - $500 67%
Benefit Management Systems $10 - $1,467 75%
American Health Group $11 - $1,467 82%
Beech Street $11 - $1,467 82%
First Choice Stratose $11 - $1,381 82%
Ibew $11 - $1,467 82%
Prime Health Services $11 - $1,381 82%
Tricare $11 - $12 82%
Caresource Truecare $12 90%
Magnolia Mcd Chip $12 90%
Medicaid / KanCare $12 - $13 90%
One Health Plan $12 - $1,553 90%
Advanced Health Systems $13 - $19 97%
Blue Cross Blue Shield $13 - $19 97%
First Choice Lgp $13 - $29 97%
Humana $13 97%
Medicare (plans) $13 97%
Molina $13 97%
Molina Chip $13 97%
Molina Exchange $13 - $23 97%
Ms Dept Of Rehabilitation Services $13 - $1,726 97%
Node Champva $13 97%
Node Devoted Health Mcr Adv $13 97%
Node First Choice American Health Of Ms Mcr Adv $13 97%
Node First Choice Shared Health Of Ms Mcr Adv $13 97%
Node Hospice Non Par Agree $13 97%
Node Magnolia Mcr Adv $13 97%
Node Va $13 97%
Node Vantage Health Mcr Adv $13 97%
Node Windsor Mcr Adv $13 97%
Veterans Eval Services $13 97%
Node First Choice Wellcare Mcr Adv $14 105%
Node Healthy Mississippi Mcr Adv $15 112%
Node Us Dept Of Labor $17 127%
First Choice Preferred $20 149%
Node First Choice Occunet $20 149%
Node Magnolia Exchange $23 172%
Ms Work Comp $25 187%
Prime Health Wc $25 187%
Vantage Health Commercial $30 224%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Crossgates Blvd, Brandon, MS 39042
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals