CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Cascade Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $88
Cash Discount Price: $127
vs. Medicare Baseline: 6.57x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Cascade Medical Center is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 6.57x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$127

Average discount available for prompt cash payment at this facility.

Insurance Median

$88

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: $127 (948%)

Insurance Median: $88 (657%)

Cash: $127 (948% of Medicare)

Ins. Median: $88 (657% 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 657% of the Medicare baseline (a markup of 557%). 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
Tricare	$11	82%
Asuris Northwest Health	$13 - $143	97%
Blue Cross Blue Shield	$13 - $121	97%
First Choice Health Network	$13	97%
Humana	$13	97%
Molina Healthcare Of Washington Mcr Adv	$13	97%
Pacificsource Health Plans	$13	97%
Washington Department Of Labor And Industry	$31	232%
Medicaid / KanCare	$85	635%
Community Health Plan Of Wa Mcd Rep	$88	657%
Coordinated Care Of Wa Mcd Rep	$88	657%
Molina Healthcare Of Washington Mcd Rep	$88	657%
Aetna	$92 - $143	687%
Medicare (plans)	$92	687%
Wellcare Health Plan Inc Mcr Adv	$99	739%
Ambetter / Centene	$100	747%
Community Health Plan Of Wa	$103	769%
Cigna	$133	993%

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 $127.
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 Cascade 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.