CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Willamette Valley Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $38
Cash Discount Price: $104
vs. Medicare Baseline: 2.84x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Willamette Valley Medical Center is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 2.84x the Medicare baseline. Located in 2700 Se Stratus Ave., McMinnville, OR.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$38

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: $104 (777%)

Insurance Median: $38 (284%)

Cash: $104 (777% of Medicare)

Ins. Median: $38 (284% 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 284% of the Medicare baseline (a markup of 184%). 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
Oregon Health Authority	$11	82%
Careoregon Inc	$13	97%
Regence Blueshield	$13	97%
UnitedHealthcare	$13 - $180	97%
Wellcare By Health Net Ellipse	$13	97%
Aetna	$14	105%
Yamhill Cco	$34	254%
Aso - Pebb Statewide	$36	269%
Blue Cross Blue Shield	$36	269%
Paso-Providence Health Plans	$36	269%
Regence Blueshield Of Idaho	$36	269%
Kaiser Foundation Health Plan Of The Northwest	$38	284%
Aso - Columbia Distributing	$39	291%
Aso - Clackamas County	$40	299%
Aso - Saif	$40	299%
Providence Health Plan	$40	299%
Government Employees Health Association	$180	1344%
Cigna	$187	1397%
Meritain Health	$203	1516%
Health Net, Llc	$222	1658%

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 $104.
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 Willamette Valley Medical 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.