CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Novant Health Thomasville Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $130
Cash Discount Price: $120
vs. Medicare Baseline: 9.71x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Novant Health Thomasville Medical Center is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 9.71x the Medicare baseline. Located in 207 Old Lexington Rd Box 789, Thomasville, NC.

Cash / Self-Pay

$120

Average discount available for prompt cash payment at this facility.

Insurance Median

$130

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: $120 (896%)

Insurance Median: $130 (971%)

Cash: $120 (896% of Medicare)

Ins. Median: $130 (971% 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 971% of the Medicare baseline (a markup of 871%). 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
Blue Cross Blue Shield	$13 - $144	97%
Humana	$13 - $156	97%
Pace Of The Southern Piedmont	$13	97%
UnitedHealthcare	$13 - $135	97%
Aetna	$14 - $160	105%
Cigna	$14 - $122	105%
Liberty Health	$14	105%
Nc Department Of Public Safety	$27 - $36	202%
Carolina Complete	$36	269%
Amerihealth	$37	276%
Wellcare	$37	276%
Caresource North Carolina	$80	597%
Atlantic Corporation Dba Atlantic Packaging	$113	844%
Plotkin Health	$120	896%
Amps	$130	971%
Medcost	$170 - $188	1270%
Primary Physician Care	$176	1314%
Multiplan	$180	1344%
Phcs	$180	1344%
Employers Choice Network	$194	1449%
Three Rivers Provider Network	$194	1449%

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 $120.
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 Novant Health Thomasville Medical Center 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.