CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Anmed Health
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $14
- Cash Discount Price: $44
- vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Anmed Health is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 800 N Fant St, Anderson, SC.
Cash / Self-Pay
$44
Average discount available for prompt cash payment at this facility.
Insurance Median
$14
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: $44 (329%)
Insurance Median: $14 (105%)
Cash: $44 (329% of Medicare)
Ins. Median: $14 (105% 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 |
|---|---|---|
| Cigna | $8 - $159 | 60% |
| Geha [302] | $8 - $84 | 60% |
| Golden Rule Ins Co [584] | $8 - $84 | 60% |
| Nalc Health Benefit Plan [291] | $8 - $87 | 60% |
| UnitedHealthcare | $8 - $159 | 60% |
| Aetna | $9 - $21 | 67% |
| Mail Handlers Benefit Plan [327] | $9 - $21 | 67% |
| Rural Carrier Benefit Plan [406] | $9 - $21 | 67% |
| Blue Choice Health Plan [922] | $10 - $104 | 75% |
| Blue Cross Blue Shield | $10 - $151 | 75% |
| Medicaid / KanCare | $10 - $159 | 75% |
| Planned Administrators [886] | $10 - $106 | 75% |
| Thomas Cooper & Company [315] | $10 - $106 | 75% |
| Bright Health Alt Payer [1001] | $11 | 82% |
| Humana | $11 - $114 | 82% |
| Medicare (plans) | $11 - $159 | 82% |
| Bright Health [11] | $12 | 90% |
| Champva [604] | $12 | 90% |
| Select Health Of Sc [637] | $12 - $13 | 90% |
| Tricare | $12 | 90% |
| Absolute Total Care [58] | $13 - $14 | 97% |
| Vaccn - Va Community Care Network [16] | $13 | 97% |
| Veterans Administration [633] | $13 | 97% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $14 | 105% |
| Absolute Total Care Mcr Plans [41] | $14 | 105% |
| Devoted Health Alt Payer [9401] | $14 | 105% |
| Devoted Health [94] | $14 | 105% |
| First Choice Vip Careplus Alt Payer [3301] | $14 | 105% |
| First Choice Vip [33] | $14 | 105% |
| Molina Dual Options Alt Payer [1501] | $14 | 105% |
| Molina Dual Options [15] | $14 | 105% |
| Nhc Advantage Alt Payer [6101] | $14 | 105% |
| Nhc Advantage [61] | $14 | 105% |
| Other Hospital Payers [1991] | $17 - $159 | 127% |
| Ambetter / Centene | $19 | 142% |
| First Choice Next [96] | $19 | 142% |
| Molina Marketplace [97] | $19 | 142% |
| Workers Compensation [622] | $21 | 157% |
| Medcost [206] | $22 - $143 | 164% |
| Edison Health Solutions [95] | $23 | 172% |
| Healthscope [98] | $23 | 172% |
| Employee Benefit Management Services [869] | $42 - $45 | 314% |
| Preferred Administrators [19] | $53 - $95 | 396% |
| Phcs [940] | $77 - $140 | 575% |
| Coventry Health [245] | $114 - $141 | 851% |
| American Continental Ins [778] | $159 | 1187% |
| American Republic Life Ins [722] | $159 | 1187% |
| Business Office [6000] | $159 | 1187% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $159 | 1187% |
| First Health [946] | $159 | 1187% |
| Guarantee Trust Life Insurance [236] | $159 | 1187% |
| Home Health Infusion Payer [6001] | $159 | 1187% |
| Manhattan Life Ins Co [932] | $159 | 1187% |
| Miscellaneous Commercial [1] | $159 | 1187% |
| New Era Life Ins Co [437] | $159 | 1187% |
| Non-Contracted [22] | $159 | 1187% |
| Physicians Mutual [773] | $159 | 1187% |
| Reference Based Pricing/Limited Plan [21] | $159 | 1187% |
| State Farm Ins Co [373] | $159 | 1187% |
| Sterling Investors Life [244] | $159 | 1187% |
| Supermed/Med Mutual Of Ohio [539] | $159 | 1187% |
| United American Ins Co [277] | $159 | 1187% |