CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Ascension St John Jane Phillips

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $18
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Ascension St John Jane Phillips is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.34x the Medicare baseline. Located in 3500 East Frank Phillips Boulevard, Bartlesville, OK.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $47 (351%)
Insurance Median: $18 (134%)
Cash: $47 (351% of Medicare)
Ins. Median: $18 (134% 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
Champva $13 97%
Community Care - St John Network Senior - Govt $13 - $180 97%
Communitycare Senior $13 - $180 97%
Life Pace $13 97%
Longevity Health Plan Of Oklahoma $13 97%
Medicare (plans) $13 97%
UnitedHealthcare $13 - $14 97%
Va Community Care Network $13 97%
Veterans Administration $13 97%
Blue Cross Blue Shield $14 - $109 105%
Humana $14 105%
Communitycare (Standard) $15 112%
Community Care (Select) 7/1/13 $16 119%
Ccl&H $17 127%
First Health $17 - $90 127%
Smarthealth $19 142%
Community Care Smarthealth $20 - $32 149%
Communitycare (Select) $20 - $31 149%
Aetna $21 - $32 157%
Connect Health Benefit $27 202%
Evolutions $27 202%
Kempton Group Administrators $30 224%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3500 East Frank Phillips Boulevard, Bartlesville, OK 74006
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals