CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Maury Regional Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $14
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Maury Regional Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 1224 Trotwood Ave, Columbia, TN.
Cash / Self-Pay
$58

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: $58 (433%)
Insurance Median: $14 (105%)
Cash: $58 (433% 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
UnitedHealthcare $7 - $14 52%
Wellpoint $8 - $13 60%
Blue Cross Blue Shield $10 - $61 75%
Wellpoint Tci $12 90%
American Health Plans $13 - $14 97%
Cigna $13 - $120 97%
Farm Bureau Health Plans $13 97%
Humana $13 97%
Medicare (plans) $13 97%
Aetna $14 - $111 105%
Nhc $14 105%
Wellcare Harmony Health $14 105%
Medrisk $20 149%
State Of Tennessee $20 149%
Ambetter / Centene $23 - $34 172%
Oscar $34 254%
Wayne County Jail $62 463%
Lawrence County Jail $92 687%
Lewis County Jail $92 687%
Marshall County Jail $92 687%
Beech Street $98 732%
Multiplan $98 732%
Phcs $98 732%
Firsthealth $118 881%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1224 Trotwood Ave, Columbia, TN 38401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals