CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Dickenson Community Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $30
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 2.24x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Dickenson Community Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 2.24x the Medicare baseline. Located in 312 Hospital Drive, Clintwood, VA.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $23 (172%)
Insurance Median: $30 (224%)
Cash: $23 (172% of Medicare)
Ins. Median: $30 (224% 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 224% of the Medicare baseline (a markup of 124%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $12 - $30 90%
UnitedHealthcare $13 - $30 97%
Aetna $14 - $81 105%
Molina Healthcare $14 - $32 105%
Optima Health $14 105%
Amerigroup $30 224%
Cigna $30 - $64 224%
Managed Medicaire $30 224%
Medicare (plans) $30 224%
Sentara Health $30 - $37 224%
United Mine Workers Of America $30 224%
Humana $31 232%
Devoted Health Plan $32 239%
Nhc Advantage $32 239%
Medcost $35 261%
Ambetter / Centene $37 276%
Seven Corners, Inc. $101 754%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 312 Hospital Drive, Clintwood, VA 24228
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals