CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Montefiore St Luke's Cornwall

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $21
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Montefiore St Luke's Cornwall is $21. 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 1.57x the Medicare baseline. Located in 70 Dubois Street, Newburgh, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $21 (157%)
Ins. Median: $21 (157% 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.

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
Fidelis $5 - $7 37%
Aetna $6 - $21 45%
Blue Cross Blue Shield $6 - $408 45%
Cdphp $6 45%
Centerlight $6 45%
Emblem $6 - $414 45%
Hudson Valley $6 45%
Mediblue $6 45%
Medicaid / KanCare $6 45%
Oscar $6 45%
Point Comfort $6 45%
UnitedHealthcare $6 - $16 45%
Humana $7 52%
Mvp $9 67%
American Postal Workers $16 119%
Northwell $16 119%
Geha $21 157%
Meritain Health $21 157%
Nippon Life Insurance $21 157%
Healthfirst $67 500%
Cigna $131 - $145 978%
Centivo $326 2435%
Seiu1199 $388 2898%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 70 Dubois Street, Newburgh, NY 12550
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals