CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Carilion Tazewell Community Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $137
Cash Discount Price: $77
vs. Medicare Baseline: 10.23x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Carilion Tazewell Community Hospital is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 10.23x the Medicare baseline. Located in 388 Ben Bolt Avenue, Tazewell, VA.

Cash / Self-Pay

$77

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $77 (575%)

Insurance Median: $137 (1023%)

Cash: $77 (575% of Medicare)

Ins. Median: $137 (1023% 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 1023% of the Medicare baseline (a markup of 923%). 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
Corvel	$13	97%
Blue Cross Blue Shield	$14	105%
Sentara Health Plan	$14 - $136	105%
Abh Of Va (Formerly Coventry)	$15	112%
Abh Of Wva (Formerly Coventry)	$15	112%
Humana	$15	112%
UnitedHealthcare	$15 - $179	112%
Aetna	$111 - $145	829%
Gateway - Tier 3	$120	896%
Vhn - Ultra	$136	1016%
Cigna	$139 - $148	1038%
Connecticare	$153	1143%
Vhn - Plus	$169	1262%
Gateway - Tier 2	$175	1307%
Vhn	$175	1307%
Integrated Health Plan	$186	1389%
Vhn - Link	$197	1471%
Gateway - Tier 1	$208	1553%
Vhn - Secondary Payors	$208	1553%
National Provider Network	$210	1568%

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 $77.
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 Carilion Tazewell Community Hospital 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.