CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: St James Hospital
Billing Code: 80061 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$72
about 5.5× the $13 Medicare rate · typically $27–$76
modeled estimate · not a bill or quote
Medicare pays $13 Fair price $72 Hospital's list price $136
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $14 - $116 | 105% |
| Blue Cross Blue Shieldmajor | $107 - $136 | 799% |
| Aetnamajor | $127 - $129 | 948% |
| Cignamajor | $70 - $129 | 523% |
| Humanamajor | $14 | 105% |
| GEHA | $114 - $116 | 851% |
| PacificSource | $88 - $129 | 657% |
| + 6 smaller / regional plans | $28 - $129 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at St James Hospital
Compare: Blood test, cholesterol (lipid panel) at other MT hospitals
- Phillips County Hospital - Cah · Malta $11
- Roundup Memorial Healthcare · Roundup $13
- Shodair Children's Hospital · Helena $19
- St Peters Health · Helena $20
- Logan Health Medical Center · Kalispell $20
- St. Patrick Hospital · Missoula $21
- Great Falls Clinic Hospital · Great Falls $25
- Stillwater Billings Clinic · Columbus $27
Insurance negotiated median for the same procedure, sorted lowest first.