CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Mount Carmel Dublin
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $39
- Cash Discount Price: $54
- vs. Medicare Baseline: 2.91x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Mount Carmel Dublin is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 2.91x the Medicare baseline. Located in 4105 Emerald Pkwy, Dublin, OH.
Cash / Self-Pay
$54
Average discount available for prompt cash payment at this facility.
Insurance Median
$39
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: $54 (403%)
Insurance Median: $39 (291%)
Cash: $54 (403% of Medicare)
Ins. Median: $39 (291% 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 291% of the Medicare baseline (a markup of 191%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $12 - $14 | 90% |
| Aetna | $13 - $37 | 97% |
| Blue Cross Blue Shield | $13 - $83 | 97% |
| Oscar | $13 | 97% |
| Rural Carrier Health Benefit Plan | $13 | 97% |
| UnitedHealthcare | $13 - $69 | 97% |
| The Health Plan | $14 | 105% |
| Medical Mutual | $24 - $35 | 179% |
| Enterprise Group Planning | $26 | 194% |
| Custom Design Benefits | $28 | 209% |
| Quality Care Partners | $30 | 224% |
| Western & Southern Financial Group | $35 | 261% |
| Geha | $37 - $69 | 276% |
| Gravie Admin Services | $37 | 276% |
| Healthez | $37 | 276% |
| Meritain | $37 | 276% |
| Webtpa | $37 | 276% |
| Access Health | $39 | 291% |
| Acclaim | $39 | 291% |
| Administrative Concepts | $39 | 291% |
| Allegeant | $39 | 291% |
| Allied Benefit Systems | $39 | 291% |
| American Family | $39 | 291% |
| American Healthcare Alliance | $39 | 291% |
| American National | $39 | 291% |
| American Republic | $39 | 291% |
| Amerihealth | $39 | 291% |
| Aultcare | $39 | 291% |
| Automated Benefit Services | $39 | 291% |
| Auxiant | $39 | 291% |
| Benefit Administrative Systems,Llc | $39 | 291% |
| Boon Chapman | $39 | 291% |
| Cam Administrative Services | $39 | 291% |
| Christian Brother Services | $39 | 291% |
| Christian Brothers Holy Cross | $39 | 291% |
| Claimchoice Adminstrators | $39 | 291% |
| Comprehensive Benefits | $39 | 291% |
| Continental Life Insurance | $39 | 291% |
| Coventry | $39 | 291% |
| Custom Benefit Administrators | $39 | 291% |
| Cypress Benefit Administrators | $39 | 291% |
| Employee Benefit Concepts | $39 | 291% |
| Employee Benefit Management | $39 | 291% |
| Forest County Potawatomi | $39 | 291% |
| Freedom Life Insurance Company | $39 | 291% |
| Group Administrators | $39 | 291% |
| Group Marketing Services | $39 | 291% |
| Group Pension Administrators | $39 | 291% |
| Guardian | $39 | 291% |
| Health America | $39 | 291% |
| Health Choices | $39 | 291% |
| Healthcare Management Admin | $39 | 291% |
| Insight | $39 | 291% |
| Intercare | $39 | 291% |
| Jfp Benefit Management | $39 | 291% |
| Jp Farley Corporation | $39 | 291% |
| Key Benefit Administrator | $39 | 291% |
| Liberty Union Life Assurance Co | $39 | 291% |
| Lucent Health | $39 | 291% |
| Luminare Health | $39 | 291% |
| Magnacare | $39 | 291% |
| Medcost | $39 | 291% |
| Mutual Health Services | $39 | 291% |
| Mutual Of Omaha | $39 | 291% |
| Ncas | $39 | 291% |
| Nippon Life Ins | $39 | 291% |
| Nova | $39 | 291% |
| Painters Union Insurance Fund | $39 | 291% |
| Physicians Mutual | $39 | 291% |
| Plumbers Local 98 Insurance Fund | $39 | 291% |
| Prairie States | $39 | 291% |
| Preferred One | $39 | 291% |
| Primary Physician Care | $39 | 291% |
| Professional Benefit Administrators | $39 | 291% |
| Secureone Preferred United Plans | $39 | 291% |
| Siho Insurance Services | $39 | 291% |
| Sisco Benefits | $39 | 291% |
| The Loomis Company | $39 | 291% |
| Trustmark Small Business Benefits | $39 | 291% |
| U Of M Health Plan | $39 | 291% |
| Unicare | $39 | 291% |
| Unified Group Services | $39 | 291% |
| Us Health And Life | $39 | 291% |
| Valenz | $39 | 291% |
| Varipro | $39 | 291% |
| Wps | $39 | 291% |
| Humana | $42 - $83 | 314% |
| First Health | $44 | 329% |
| Paramount Hmo | $44 | 329% |
| Medben | $50 - $62 | 373% |
| Consociate | $51 | 381% |
| Health Ohio Network | $51 | 381% |
| American Postal Workers Secondary | $54 | 403% |
| Cigna | $54 | 403% |
| Health Partners | $54 | 403% |
| Healthgram | $54 | 403% |
| Mvp | $54 | 403% |
| Priority Health | $54 | 403% |
| Healthlink Inc | $62 | 463% |
| Medical Benefits Mutual | $62 | 463% |
| Ohio Health Choice | $62 | 463% |
| Ohio Ppo Connect | $62 | 463% |
| Ameriben | $66 | 493% |
| Luminare Health (Detroit) | $66 | 493% |
| Medi Share | $66 | 493% |
| Multiplan | $66 | 493% |
| Ohiohealthy | $66 | 493% |
| Osu Not Independent Choice | $66 | 493% |
| Phcs | $66 | 493% |
| Philadelphia American Life Insurance | $66 | 493% |
| Twin Valley Psychiatric | $66 | 493% |
| Health Smart | $71 | 530% |
| Medicaid / KanCare | $83 | 620% |