CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Bay Area Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $64
Cash Discount Price: $80
vs. Medicare Baseline: 4.78x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Bay Area Hospital is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 4.78x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$80

Average discount available for prompt cash payment at this facility.

Insurance Median

$64

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: $80 (597%)

Insurance Median: $64 (478%)

Cash: $80 (597% of Medicare)

Ins. Median: $64 (478% 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 478% of the Medicare baseline (a markup of 378%). 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
Southwest Oregon Ipa - All Plans	$11	82%
Healthnet Mcaid	$13	97%
Aetna	$14	105%
Healthnet Mcr Adv	$14	105%
Moda Hlth Mcr Adv	$15	112%
Moda Beacon - All Other Plans	$36	269%
Ods Ppo/Pos - All Plans	$52	388%
Providence Pebb	$52	388%
Nasomah Hlth Grp - All Plans	$64	478%
Pacificsource - All Plans	$91	680%
Moda Connexus/Synergy	$95	709%
First Choice - All Plans	$97	724%
Cigna	$98	732%
Providence - All Other Plans	$100	747%
Healthnet Comm- All Other Plans	$102	762%
UnitedHealthcare	$102	762%
Blue Cross Blue Shield	$383	2860%

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 $80.
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 Bay Area 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.