CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Columbus Regional Healthcare System

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $42
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 3.14x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Columbus Regional Healthcare System is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 3.14x the Medicare baseline. Located in 500 Jefferson St, Whiteville, NC.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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: $49 (366%)
Insurance Median: $42 (314%)
Cash: $49 (366% of Medicare)
Ins. Median: $42 (314% 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 314% of the Medicare baseline (a markup of 214%). 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
Blue Cross Blue Shield $13 - $45 97%
Troy $13 97%
UnitedHealthcare $13 - $48 97%
Va Communicare Care $13 97%
Wellcare $13 - $16 97%
Aetna $14 - $68 105%
Cigna $14 - $67 105%
Devoted Health $14 105%
Humana $14 105%
Liberty $14 105%
Vaya Health $14 105%
Molina $15 - $18 112%
Alliance $16 119%
Amerihealth $16 119%
Apex Health $16 119%
Cardinal $16 119%
Carolina Complete Health $16 119%
Healthy Blue $16 119%
Partners $16 119%
Sandhills $16 119%
Trillium $16 119%
Queens University $39 291%
Ambetter / Centene $41 - $48 306%
Oscar $46 - $51 344%
Employers Health Network $47 - $52 351%
Quicktrip $56 418%
Multiplan $63 - $67 471%
Choicecare $67 500%
Healthgram $67 500%
Medcost $67 500%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 Jefferson St, Whiteville, NC 28472
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals