CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $43
Cash Discount Price: Unavailable
vs. Medicare Baseline: 3.21x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Intermountain Health St Vincent Regional Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 3.21x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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%)

Insurance Median: $43 (321%)

Ins. Median: $43 (321% 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 321% of the Medicare baseline (a markup of 221%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicare (plans)	$13	97%
UnitedHealthcare	$14 - $59	105%
Ebms-Employee Benefit Mng	$22 - $55	164%
Sibanye Stillwater Health Partners	$25	187%
First Choice Health	$26 - $57	194%
Other	$26 - $57	194%
Coastal Administrative Services	$27	202%
Exchange Other	$29 - $42	217%
Mt Health Co-Op	$29 - $42	217%
Meritain Health	$30 - $49	224%
Aetna	$31 - $41	232%
Allegiance	$33 - $57	246%
Cigna	$33 - $57	246%
Pacific Steel And Recycling	$33	246%
Pacificsource	$33 - $58	246%
Blue Cross Blue Shield	$36 - $107	269%
Preferred One	$42 - $59	314%
Interwest	$43 - $57	321%
Geha	$44 - $59	329%
Private Hlthcare Sys	$44 - $58	329%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80061.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Intermountain Health St Vincent Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80061.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.