CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Curry General Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $133
Cash Discount Price: $140
vs. Medicare Baseline: 9.93x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Curry General Hospital is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 9.93x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$140

Average discount available for prompt cash payment at this facility.

Insurance Median

$133

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: $140 (1046%)

Insurance Median: $133 (993%)

Cash: $140 (1046% of Medicare)

Ins. Median: $133 (993% 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 993% of the Medicare baseline (a markup of 893%). 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
Medicaid / KanCare	$11 - $88	82%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$13	97%
Blue Cross Blue Shield	$15 - $140	112%
Tricare	$44	329%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$61	456%
Medicare (plans)	$61 - $91	456%
Department Of Corrections [1051]	$91	680%
Coordinated Care Commercial [1649]	$119	889%
Pacificsource [1148]	$119	889%
Moda [512]	$120 - $126	896%
Multiplan [1131]	$127	948%
Asuris [1258]	$133	993%
First Choice Health Admin [1294]	$133	993%
First Choice [528]	$133	993%
Operating Engineers [1144]	$133	993%
Regence [1351]	$133 - $140	993%
Cigna	$137 - $140	1023%
Coventry First Health Managed Care [1774]	$137	1023%
Coventry Health [1046]	$137	1023%
Providence Health Plan Plm Alt [1692]	$137	1023%
Providence Health Plan [567]	$137	1023%
Aetna	$140	1046%
Employee Bene Admin Mgmt [525]	$140	1046%
Geha [531]	$140	1046%
Mailhandlers Benefit Pln [547]	$140	1046%
Meritain [550]	$140	1046%
Nw Sheet Metal Workers [597]	$140	1046%
Trustmark [524]	$140	1046%
UnitedHealthcare	$140	1046%
Zenith Administrators [586]	$140	1046%
Allcare Alt [2598]	$300	2240%
Allcare [1695]	$300	2240%

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 $140.
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 Curry General 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.