CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Lodi Community Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $46
Cash Discount Price: $57
vs. Medicare Baseline: 3.44x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Lodi Community Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 3.44x the Medicare baseline. Located in 225 Elyria Street, Lodi, OH.

Cash / Self-Pay

$57

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $57 (426%)

Insurance Median: $46 (344%)

Cash: $57 (426% of Medicare)

Ins. Median: $46 (344% 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 344% of the Medicare baseline (a markup of 244%). 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
Blue Cross Blue Shield	$13 - $65	97%
UnitedHealthcare	$13 - $54	97%
Mmo	$16 - $47	119%
Buckeye	$24	179%
Caresource	$24	179%
Molina	$25	187%
United	$25 - $62	187%
Humana	$26	194%
Oscar	$26 - $33	194%
Summacare	$26 - $53	194%
Amerihealth	$27	202%
Aetna	$30 - $87	224%
The Health Plan	$35 - $70	261%
Amish Community Aid Plan	$39 - $44	291%
Ohcp	$42	314%
Aultcare	$44	329%
Omas	$44	329%
Ohio Healthy	$47	351%
Php	$52	388%
Phphi	$52	388%
Upmc	$52	388%
Cigna	$56	418%
Cc Ehp	$58	433%
Gms	$61	456%
Medical Benefit Corp	$61	456%
Consociate Health	$65	485%
Frontpath	$78	583%
Managed Care Services	$78	583%
Multiplan	$78	583%
Tertiary Care Network	$78	583%

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 $57.
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 Lodi Community Hospital 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.