CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Ohio State University State Health System

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $25
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Ohio State University State Health System is $25. 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 1.87x the Medicare baseline. Located in 410 West 10Th Avenue, Columbus, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $25 (187%)
Ins. Median: $25 (187% 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
Aetna $13 - $49 97%
Blue Cross Blue Shield $13 - $59 97%
Medicare (plans) $13 - $14 97%
Medigold $13 97%
Mmo $13 - $15 97%
Molina $13 - $22 97%
United $13 97%
Upper Ohio Valley $13 - $40 97%
Buckeye Community $14 - $21 105%
Caresource $14 - $21 105%
Healthspan $14 - $29 105%
Humana $14 - $49 105%
Osu Health Plan $19 - $30 142%
Ohio Ppo $23 - $27 172%
Odrc $25 187%
Ohiohealth $40 - $46 299%
Lifetrac $41 306%
Frontpath $49 366%
Multiplan $49 366%
Healthsmart $55 411%
Cigna $79 590%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 410 West 10Th Avenue, Columbus, OH 43210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals