CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $180
Cash Discount Price: $92
vs. Medicare Baseline: 13.44x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Crystal Clinic Orthopaedic Center is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 13.44x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$92

Average discount available for prompt cash payment at this facility.

Insurance Median

$180

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: $92 (687%)

Insurance Median: $180 (1344%)

Cash: $92 (687% of Medicare)

Ins. Median: $180 (1344% 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 1344% of the Medicare baseline (a markup of 1244%). 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
Bc Mcr Adv	$13	97%
Summacare Mcr Adv	$13	97%
UnitedHealthcare	$13 - $259	97%
The Health Plan - All Plans	$27	202%
Aultcare - All Plans	$39	291%
Health Oh Network - All Plans	$74	553%
Ohio Health Choice - All Plans	$74	553%
Med Mutual Nas	$77	575%
Multiplan - All Plans	$81	605%
Healthsmart - All Plans	$105	784%
Bc Pathway	$154	1150%
Cigna	$207	1546%
Bc Ohi/Ohii	$211	1576%
Summacare Comm - All Other Plans	$228	1703%
Med Mutual Medflex	$230	1718%
Bc Blue Access	$235	1755%
Bc Preferred	$235	1755%
Bc Trad - All Other Plans	$235	1755%
Med Mutual Aca	$262	1957%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$288	2151%
Aetna	$292	2181%

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 $92.
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 Crystal Clinic Orthopaedic 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.