CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Sanford Hospital Webster - Cah

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $84
Cash Discount Price: $90
vs. Medicare Baseline: 6.27x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Sanford Hospital Webster - Cah is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 6.27x the Medicare baseline. Located in 1401 W First St Post Office Box 489, Webster, SD.

Cash / Self-Pay

$90

Average discount available for prompt cash payment at this facility.

Insurance Median

$84

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: $90 (672%)

Insurance Median: $84 (627%)

Cash: $90 (672% of Medicare)

Ins. Median: $84 (627% 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 627% of the Medicare baseline (a markup of 527%). 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
Sanford Health Plan Align	$35	261%
Aetna	$38 - $98	284%
Health Partners	$38 - $85	284%
Medicare (plans)	$38	284%
Ucare	$38 - $99	284%
UnitedHealthcare	$38 - $94	284%
Wellmark Sd	$38	284%
Primewest	$39	291%
Sanford Health Plan	$62 - $83	463%
Security Health Plan	$62	463%
Medica	$93 - $100	695%
Wellmark	$97 - $98	724%
First Choice Health Network	$102	762%
Healthez	$102	762%
Multiplan	$102	762%

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 $90.
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 Sanford Hospital Webster - Cah 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.