CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Tristar Ashland City Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $18
Cash Discount Price: $1,896
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Tristar Ashland City Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,896. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.34x the Medicare baseline. Located in 313 North Main St, Ashland City, TN.

Cash / Self-Pay

$1,896

Average discount available for prompt cash payment at this facility.

Insurance Median

$18

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: $1,896 (14160%)

Insurance Median: $18 (134%)

Cash: $1,896 (14160% of Medicare)

Ins. Median: $18 (134% 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
Wellpoint	$6	45%
Aetna	$11 - $948	82%
Bright Health	$13 - $16	97%
Humana	$13 - $474	97%
Sarah Cannon Research	$13	97%
United	$13 - $853	97%
Ambetter / Centene	$14	105%
American Health Advantage	$14	105%
Devoted Health Plan	$14	105%
Evergreen Hmo	$14	105%
Healthspring	$14	105%
Wellcare	$14	105%
Zing	$14	105%
Atrio Golden Times	$15	112%
Signature Advantage	$15	112%
Blue Cross Blue Shield	$18 - $2,000	134%
Prime Health	$19	142%
Corvel Corporation	$20	149%
Novanet	$20	149%
Cigna	$24 - $592	179%
Oscar	$40	299%
Kentucky Labor Cabinet	$349	2606%
Apex Health	$360	2689%
Nhc Advantage, Inc.	$360	2689%
Pruitt Health (Allyalign)	$360	2689%
Amerigroup	$588	4391%
Bgfh Singlesource	$948 - $1,612	7080%
Multiplan	$1,043	7789%
Southern Health Partners	$1,138	8499%
Employers Health Network	$1,327	9910%
Odom'S Tn Pride Sausage	$1,422	10620%
Beech Street	$1,744	13025%

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 $1,896.
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 Tristar Ashland City Medical Center 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.