CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Artesia General Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $101
Cash Discount Price: $151
vs. Medicare Baseline: 7.54x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Artesia General Hospital is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 7.54x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$151

Average discount available for prompt cash payment at this facility.

Insurance Median

$101

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: $151 (1128%)

Insurance Median: $101 (754%)

Cash: $151 (1128% of Medicare)

Ins. Median: $101 (754% 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 754% of the Medicare baseline (a markup of 654%). 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
Zelis	$11 - $101	82%
Blue Cross Blue Shield	$13 - $151	97%
Geha	$13 - $202	97%
Humana	$13 - $15	97%
Molina Healthcare Of New Mexico	$13 - $22	97%
Presbyterian Health Plan	$13 - $22	97%
Triwest	$13	97%
UnitedHealthcare	$13 - $214	97%
Vistacare Hospice	$13	97%
First Health	$23 - $227	172%
New Mexico Health Connections	$23	172%
Providence Risk & Insurance Services	$27 - $239	202%
Omni Networks	$176	1314%
Three Rivers Provider Network	$189	1412%
Cigna	$214 - $227	1598%
Galaxy Health	$227	1695%
One Health Plan	$227	1695%
Multiplan	$229	1710%
United Payors & United Providers	$234	1748%

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 $151.
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 Artesia General 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.