CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: University Hospitals Conneaut Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $56
  • Cash Discount Price: $110
  • vs. Medicare Baseline: 4.18x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at University Hospitals Conneaut Medical Center is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 4.18x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$110

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $110 (822%)
Insurance Median: $56 (418%)
Cash: $110 (822% of Medicare)
Ins. Median: $56 (418% 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 418% of the Medicare baseline (a markup of 318%). 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.

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 $6 - $222 45%
Aetna $18 - $129 134%
Cigna $18 - $172 134%
Devoted $18 - $73 134%
Humana $18 - $73 134%
Medical Mutual Of Ohio $18 - $221 134%
Molina $18 - $73 134%
Primetime Health Plan $18 - $73 134%
Summacare $18 - $119 134%
The Health Plan $18 - $154 134%
UnitedHealthcare $18 - $73 134%
Wellcare By Allwell $18 - $73 134%
Paramount $19 - $75 142%
Perennial Advantage Of Ohio $19 - $76 142%
University Health Employee Plan (Contigo) $19 142%
Valor Health Plans $19 - $76 142%
Amish Aid Community Plan $27 - $108 202%
Amish Church Fund And Workers Aid Plan $27 - $108 202%
Buckeye Plain Ministries $27 - $108 202%
Clarity $28 - $112 209%
Jp Farley $28 - $110 209%
Christian Healthcare Ministries $30 - $117 224%
Immergrun $30 - $117 224%
Sunrise Plan Communities $30 - $117 224%
Aultcare $32 - $129 239%
Ambetter / Centene $33 - $131 246%
Caresource $33 - $131 246%
Healthsmart $38 - $152 284%
Ohio Health Choice $38 - $211 284%
Medical Mutual Traditional/Health Ohio $41 - $164 306%
Beech Street $47 - $211 351%
Ohio Preferred Network $47 - $211 351%
First Health $49 - $194 366%
Century Health Network $50 - $199 373%
Private Healthcare System $51 - $201 381%
Configurenet $53 - $211 396%
Fortified Provider Network $53 - $211 396%
Multiplan $53 - $211 396%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals