CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Wooster Community Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $17
  • Cash Discount Price: $81
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Wooster Community Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.27x the Medicare baseline. Located in 1761 Beall Avenue, Wooster, OH.
Cash / Self-Pay
$81

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $81 (605%)
Insurance Median: $17 (127%)
Cash: $81 (605% of Medicare)
Ins. Median: $17 (127% 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
Aultcare/Primecare Mcr Adv $9 - $71 67%
Blue Cross Blue Shield $9 - $18 67%
Cerco-All Plans $12 - $102 90%
Aetna $13 - $145 97%
Aultcare Wayne County $13 - $109 97%
Aultcare/Primetime Exch $13 - $109 97%
Buckeye Mcare $13 97%
Caresource Mcr Adv $13 97%
Humana $13 - $137 97%
Med Mutual Of Oh Mcr $13 97%
Molina Mcr $13 97%
Rayco-All Plans $13 - $109 97%
Summacare Mcr $13 97%
The Health Plan Mcr Adv $13 97%
Tricare $13 97%
UnitedHealthcare $13 - $138 97%
Valor Hp Mcr-All Plans $13 97%
Christian Health Ministries-All Plans $14 - $116 105%
Cigna $14 - $116 105%
Health Ohio Network Employer $14 - $116 105%
Wayne County-All Plans $14 - $116 105%
Health Ohio Network Ppo-All Other Plans $15 - $124 112%
Health Plan Of Upper Ohio-All Plans $15 - $128 112%
Healthsmart Accel $15 - $121 112%
Healthsmart Complete Ppo-All Other Plans $15 - $124 112%
Med Mutual Of Oh Exchange $15 - $125 112%
Med Mutual Of Oh Supermed $15 - $125 112%
Med Mutual Of Oh Trad-All Other Plans $15 - $125 112%
Ohio Health Choice Supp $15 - $124 112%
Ohio Health Group Hlthy - All Other Plans $15 - $124 112%
Summacare Preferred Choice $15 - $121 112%
The Health Plan Comm - All Other Plans $15 - $128 112%
Aultcare/Primetime-All Other Plans $16 - $131 119%
Healthsmart Ppo $16 - $132 119%
Ohio Health Group Pref $16 - $129 119%
Summacare-All Other Plans $16 - $135 119%
Beech Street-All Plans $17 - $141 127%
Buckeye Mcaid-All Other Plans $17 127%
Caresource Mcaid $17 127%
Central Benefits-All Plans $17 - $140 127%
First Health-All Plans $17 - $140 127%
Flora-All Plans $17 - $140 127%
Healthsmart Hpo $17 - $138 127%
Magnipower-All Plans $17 127%
Ohio Health Choice-All Other Plans $17 - $137 127%
Osu-All Plans $17 - $138 127%
Phcs-All Plans $17 - $141 127%
Amerihealth Mcaid-All Plans $18 134%
Molina Mcaid $18 134%
Caresource Exch - All Other Plans $19 142%
Molina Marketplace - All Other Plans $23 172%
Clarity Health - All Plans $26 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1761 Beall Avenue, Wooster, OH 44691
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals