CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Blount Memorial Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $21
Cash Discount Price: $93
vs. Medicare Baseline: 1.57x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Blount Memorial Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.57x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$93

Average discount available for prompt cash payment at this facility.

Insurance Median

$21

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: $93 (695%)

Insurance Median: $21 (157%)

Cash: $93 (695% of Medicare)

Ins. Median: $21 (157% 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.

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	$5 - $20	37%
Golden Rule Insurance Company [2991]	$8	60%
Oxford Health Plans [2992]	$8	60%
UnitedHealthcare	$8 - $17	60%
Cigna	$11 - $17	82%
Mvp Health Care [3037]	$11	82%
Tricare	$12	90%
Blue Cross Blue Shield	$13 - $69	97%
Humana	$13	97%
Medicare (plans)	$13 - $14	97%
Ambetter / Centene	$21	157%
Consociate Health Contracted [4835]	$29	217%
Fairos/Occunet Contracted [4837]	$31	232%
Prisma Health Seniorcare Pace - Midlands [5400]	$70	523%
Prisma Health Seniorcare Pace-Upstate [5200]	$70	523%
Promise Health Plan Contracted [2401]	$105 - $180	784%
Orangeburg Senior Helping Center Pace [5401]	$120	896%
Bob Jones Univ-Pai [821]	$180	1344%
Preferred Administrators Contracted [2839]	$210	1568%
Medcost [2940]	$222 - $249	1658%
Atlantic Packaging Contracted [4833]	$225	1680%
Aps Healthcare System [2981]	$240	1792%
Multiplan/Phcs Contracted [2950]	$267	1994%
Aetna	$270	2016%
Meritain Health Contracted [2200]	$270	2016%
Nippon [2300]	$270	2016%
Vsp Vision Care [2986]	$270	2016%
First Health Contracted [2952]	$279	2084%
Furman Int/Allen University Student [2951]	$279	2084%
Quiktrip-First Health [3067]	$279	2084%

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 $93.
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 Blount Memorial 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.