CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Trident Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $20
  • Cash Discount Price: $284
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Trident Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $284. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.49x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.
Cash / Self-Pay
$284

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $284 (2121%)
Insurance Median: $20 (149%)
Cash: $284 (2121% of Medicare)
Ins. Median: $20 (149% 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 - $213 82%
Advantage Hospice $13 97%
Agape Hospice $13 97%
Arcadian $13 97%
Blue Choice $13 97%
Blue Cross Blue Shield $13 - $270 97%
Companion $13 97%
Devoted Health $13 97%
Odyssey Hospice $13 97%
United $13 - $128 97%
United Behavioral Health $13 97%
Absolute Total Care $14 - $51 105%
Aetna $14 - $35 105%
Boldage Pace $14 105%
Cigna $14 105%
Clover $14 105%
Eon Health $14 105%
Molina $14 - $40 105%
Wellcare $14 105%
Universal Healthcare Group $16 119%
Corvel Corporation $18 134%
Employer'S Health Network $18 134%
Prime Health $18 - $241 134%
Heritage Summit $20 149%
Seven Corners $23 172%
Blue Choice Health Plan $26 194%
Select Health $26 194%
Naphcare $28 209%
Sc State Employees $42 314%
Nhc Advantage $54 403%
Pruitt Health $54 403%
Medcost $108 - $160 807%
Employers Health Network $128 956%
Occunet $142 1060%
Vocational Rehab $153 1143%
First Health $207 1546%
Mhnet $213 1591%
Evernorth $227 1695%
Multiplan $241 1800%
Novanet $256 1912%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Medical Plaza Dr, Charleston, SC 29406
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals