CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Lafollette Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $14
  • Cash Discount Price: $180
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Lafollette Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$180

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: $180 (1344%)
Insurance Median: $14 (105%)
Cash: $180 (1344% 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
Amerigroup $6 45%
Medicaid / KanCare $7 - $13 52%
UnitedHealthcare $7 - $601 52%
Tricare $12 90%
Aetna $13 - $374 97%
Blue Cross Blue Shield $13 - $105 97%
Humana $13 97%
Medicare (plans) $13 97%
Node Bluecare Plus Tn Mcr Adv $13 97%
Node Champva $13 97%
Node Devoted Health Mcr Adv $13 97%
Node Farm Bureau Mcr Adv $13 97%
Node Hospice Non Par Agree $13 97%
Node Va $13 97%
Node Wellcare Mcr Adv $13 97%
Tennessee Breast And Cervical Program $13 97%
Triwest $13 97%
Veterans Eval Services $13 97%
Wellcare $13 97%
Node Amerigroup Mcr Adv $14 105%
Node Blueadvantage Mcr Adv $14 105%
Node Healthspring Mcr Adv $14 105%
Node Nhc Mcr Adv $14 105%
Windsor Health Plan $14 105%
Node Us Dept Of Labor $17 127%
Cigna $20 149%
Novanet Work Comp Tn $20 149%
Tn Work Comp $20 149%
Ambetter / Centene $25 187%
Node Point Comfort Underwriters $29 217%
Bluecare $39 - $45 291%
Self Pay $172 1285%
Multiplan Complementary $457 3413%
Beech Street Work Comp Tn $1,989 14854%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals