CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Colleton Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $18
  • Cash Discount Price: $538
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Colleton Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $538. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.34x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
$538

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $538 (4018%)
Insurance Median: $18 (134%)
Cash: $538 (4018% of Medicare)
Ins. Median: $18 (134% 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
Humana $11 - $503 82%
Arcadian $13 97%
Blue Choice $13 97%
Blue Cross Blue Shield $13 - $531 97%
Devoted Health $13 97%
Odyssey Hospice $13 97%
United $13 - $297 97%
United Behavioral Health $13 97%
Absolute Total Care $14 - $101 105%
Aetna $14 - $324 105%
Boldage Pace $14 105%
Cigna $14 - $361 105%
Clover $14 105%
Eon Health $14 105%
Molina $14 - $40 105%
Wellcare $14 105%
Align Networks $15 112%
Universal Healthcare Group $16 119%
Corvel Corporation $18 134%
Employer'S Health Network $18 134%
Prime Health $18 - $475 134%
Heritage Summit $20 149%
Seven Corners $23 172%
Select Health $26 194%
Medical Development $28 209%
Naphcare $28 209%
Sc State Employees $42 - $47 314%
Blue Choice Health Plan $80 - $84 597%
Nhc Advantage $106 792%
Pruitt Health $106 792%
Employers Health Network $252 1882%
Value Option $280 2091%
Vocational Rehab $302 2255%
Medcost $315 - $408 2353%
Mhnet $419 3129%
Evernorth $447 3338%
Multiplan $475 3547%
North American Administrators $475 3547%
First Health $503 3757%
Novanet $503 3757%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals