CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Fort Loudoun Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $14
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Fort Loudoun Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 550 Fort Loudon Medical Center Dr, Lenoir City, TN.
Cash / Self-Pay
$26

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: $26 (194%)
Insurance Median: $14 (105%)
Cash: $26 (194% 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
Beech Street $1 - $115 7%
Ccn Managed Care $1 - $115 7%
Galaxy Health Network $1 - $122 7%
Initial Group $1 - $119 7%
Wellpoint $6 - $14 45%
UnitedHealthcare $9 - $14 67%
Ehn $12 - $61 90%
Tricare $13 97%
Aetna $14 - $19 105%
Blue Cross Blue Shield $14 - $28 105%
Cigna $14 - $29 105%
Devoted Health $14 105%
Farm Bureau $14 105%
Humana $14 105%
Wellcare $14 105%
Correctional Medical Services $16 - $81 119%
Community Services Network $18 - $88 134%
Usa Managed Care Organization $19 - $94 142%
Novanet $20 - $101 149%
Direct Care America $22 - $108 164%
Medsave Usa $22 - $108 164%
National Provider Network $22 - $108 164%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 550 Fort Loudon Medical Center Dr, Lenoir City, TN 37772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals