CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Tristar Hendersonville Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $14
  • Cash Discount Price: $1,063
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Tristar Hendersonville Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,063. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 355 New Shackle Island Rd, Hendersonville, TN.
Cash / Self-Pay
$1,063

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: $1,063 (7939%)
Insurance Median: $14 (105%)
Cash: $1,063 (7939% 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
Wellpoint $6 45%
Aetna $11 - $532 82%
Amerigroup $13 97%
Bright Health $13 - $15 97%
Devoted Health Plan $13 97%
Healthspring $13 97%
Humana $13 - $266 97%
Sarah Cannon Research $13 97%
United $13 - $478 97%
Ambetter / Centene $14 105%
American Health Advantage $14 105%
Blue Cross Blue Shield $14 - $105 105%
Evergreen Hmo $14 105%
Signature Advantage $14 105%
Wellcare $14 105%
Zing $14 105%
Atrio Golden Times $15 112%
Prime Health $19 142%
Corvel Corporation $20 149%
Novanet $20 149%
Cigna $24 - $357 179%
Oscar $40 299%
Kentucky Labor Cabinet $196 1464%
Apex Health $202 1509%
Nhc Advantage, Inc. $202 1509%
Pruitt Health (Allyalign) $202 1509%
Bgfh Singlesource $532 - $904 3973%
Employers Health Network $744 5556%
Odom'S Tn Pride Sausage $797 5952%
Multiplan $872 6512%
Beech Street $978 7304%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 355 New Shackle Island Rd, Hendersonville, TN 37075
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals