CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Bmh-Calhoun

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $398
  • Cash Discount Price: $267
  • vs. Medicare Baseline: 29.72x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Bmh-Calhoun is $398. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $267. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 29.72x the Medicare baseline. Located in 140 Burke-Calhoun City Road, Calhoun City, MS.
Cash / Self-Pay
$267

Average discount available for prompt cash payment at this facility.

Insurance Median
$398

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: $267 (1994%)
Insurance Median: $398 (2972%)
Cash: $267 (1994% of Medicare)
Ins. Median: $398 (2972% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2972% of the Medicare baseline (a markup of 2872%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Veterans Evaluation Services $13 97%
Molina $14 - $409 105%
Blue Cross Blue Shield $19 - $228 142%
Ppo Holdings $195 1456%
Magnolia Regional Health Center $206 1538%
Tricare $210 1568%
Ms Breast And Cervical $221 1650%
Triwest $221 1650%
Vaccn $221 1650%
Devoted Health $225 1680%
Aetna $232 - $334 1733%
American Health Plan $232 1733%
Humana $232 - $411 1733%
Primewell $232 1733%
Shared Health $232 1733%
Magnolia Ms $252 1882%
Littler $257 1919%
Cigna $283 2114%
First Choice Health Plan Of Ms $332 2479%
Burch Food Services $376 2808%
First State Bank Trust $376 2808%
Arlington Community Schools $398 2972%
Armstrong Relocation $398 2972%
Ashley Furniture Stores $398 2972%
Bartlett City Schools $398 2972%
Brimhall Foods $398 2972%
Building Plastic $398 2972%
Cannon Motor Company $398 2972%
Carlisle $398 2972%
City Of Bartlett $398 2972%
City Of Lakeland $398 2972%
Collierville Schools $398 2972%
Crittenden County $398 2972%
Davidson Hospitality $398 2972%
Delta Industries $398 2972%
Desoto Co Board Of Supervisors $398 2972%
Dunn Investment Company $398 2972%
Eas Mssc Schools $398 2972%
First Community Bank $398 2972%
French Camp Academy $398 2972%
Gossett Motor Cars $398 2972%
Hattiesburg Clinic $398 2972%
Heartland Catfish Company $398 2972%
Heavy Machines $398 2972%
Hollowell Industries $398 2972%
Hospitality Management Advisors $398 2972%
Jas D Collier $398 2972%
Lakeland School System $398 2972%
Malco Theaters $398 2972%
Mechanical Systems $398 2972%
Mid-South Transport $398 2972%
Minact $398 2972%
Patterson Warehouses $398 2972%
Radians $398 2972%
Rei Nation $398 2972%
Retzer Resources $398 2972%
Ritchey Automotive $398 2972%
Security One $398 2972%
Silver Tree $398 2972%
State Systems $398 2972%
Town Of Collierville $398 2972%
United Tn Holdings $398 2972%
Vaughn Electric $398 2972%
W G Yates $398 2972%
W W Wood Products $398 2972%
Watkins Uiberall $398 2972%
Y K Auto Group $398 2972%
Advanced Health Systems Inc. $411 3069%
Christian Health Aid $411 3069%
Ppo Plus $437 3264%
Employers Health Network $442 3301%
Harding Academy $442 3301%
Multiplan $463 3458%
Qca $463 3458%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 140 Burke-Calhoun City Road, Calhoun City, MS 38916
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals