CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Wheatland Memorial Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $89
Cash Discount Price: $116
vs. Medicare Baseline: 6.65x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Wheatland Memorial Hospital is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 6.65x the Medicare baseline. Located in 530 3Rd St Nw, Harlowton, MT.

Cash / Self-Pay

$116

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $116 (866%)

Insurance Median: $89 (665%)

Cash: $116 (866% of Medicare)

Ins. Median: $89 (665% 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 665% of the Medicare baseline (a markup of 565%). 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
Healthnet Federal-All Plans	$57 - $85	426%
Humana	$57 - $85	426%
Medica Prime Solutions-All Plans	$57 - $85	426%
Pacific Source Mcr Adv	$57 - $85	426%
Triwest-All Plans	$57 - $85	426%
Amish Old Orders-All Plans	$70 - $104	523%
Allegiance Provider-All Plans	$80 - $118	597%
6 Degrees Health-All Plans	$89 - $132	665%
Americas Choice-All Plans	$89 - $132	665%
Community Health Ntwk-All Plans	$89 - $132	665%
Fedmed Network-All Plans	$89 - $132	665%
First Choice Big Sky-All Plans	$89 - $132	665%
Interwest Ppo-All Plans	$89 - $132	665%
Mountain Health Co-Op-All Plans	$89 - $132	665%
Pacific Source-All Other Plans	$89 - $132	665%
Pacific Steel & Recycling-All Plans	$89 - $132	665%
Rocky Mountain Health Network-All Plans	$89 - $132	665%
Three Rivers-All Plans	$89 - $132	665%
First Health-All Plans	$90 - $133	672%
Ccn-All Plans	$91 - $135	680%
UnitedHealthcare	$92 - $136	687%
City Of Billings-All Plans	$141 - $208	1053%

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 $116.
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 Wheatland Memorial 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.