CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Southern Coos Hospital & Health Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $119
Cash Discount Price: $133
vs. Medicare Baseline: 8.89x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Southern Coos Hospital & Health Center is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 8.89x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$133

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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: $133 (993%)

Insurance Median: $119 (889%)

Cash: $133 (993% of Medicare)

Ins. Median: $119 (889% 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 889% of the Medicare baseline (a markup of 789%). 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
Healthnet - All Plans	$3 - $95	22%
Tricare	$14 - $413	105%
Advanced Health - All Plans	$16 - $448	119%
Aetna	$16 - $640	119%
Atrio Mcr Adv - Allplans	$16 - $469	119%
Confederated Tribes - All Plans	$16 - $469	119%
Moda Mcr Adv	$16 - $469	119%
Pacific Source Mcr Adv	$16 - $469	119%
Cigna	$20 - $562	149%
Moda Health Plan - All Other Plans	$22 - $633	164%
Prov Netwrk Of America - All Plans	$22 - $640	164%
Three Rivers - All Plans	$22 - $640	164%
UnitedHealthcare	$22 - $640	164%
Blue Cross Blue Shield	$23 - $661	172%
First Choice - All Plans	$23 - $654	172%
Multiplan - All Plans	$23 - $661	172%
First Health - All Plans	$24 - $676	179%
Pacific Source - All Other Plans	$24 - $676	179%
Providence Preferred - All Plans	$24 - $676	179%

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 $133.
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 Southern Coos Hospital & Health 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.