CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Holy Cross Hospital-Jordan Valley

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $94
Cash Discount Price: $80
vs. Medicare Baseline: 7.02x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Holy Cross Hospital-Jordan Valley is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 7.02x the Medicare baseline. Located in 3580 West 9000 South, West Jordan, UT.

Cash / Self-Pay

$80

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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: $80 (597%)

Insurance Median: $94 (702%)

Cash: $80 (597% of Medicare)

Ins. Median: $94 (702% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 702% of the Medicare baseline (a markup of 602%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$9 - $120	67%
Aetna	$11 - $169	82%
Cigna	$11 - $160	82%
Colorado Access	$11	82%
Denver Health	$11	82%
Health Choice	$11	82%
Molina	$11 - $86	82%
Rocky Mountain Health Plan	$11	82%
Uuhp	$11 - $31	82%
Humana	$13	97%
Medicare (plans)	$13	97%
Employer Direct Healthcare	$16	119%
Centura Employee Plan	$17	127%
Motivhealth	$17	127%
UnitedHealthcare	$17 - $200	127%
Pehp	$85 - $200	635%
Wise	$104 - $106	777%
Deseret Mutual Benefit Administrators	$123	919%
Select Health	$132	986%
Multiplan	$138 - $182	1031%
Emi Health	$200	1494%

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 $80.
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 Holy Cross Hospital-Jordan Valley 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.