CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Mary Bridge Children's Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $17
Cash Discount Price: $49
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Mary Bridge Children's Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.27x the Medicare baseline. Located in 317 Martin Luther King Jr W Box 5299, Tacoma, WA.

Cash / Self-Pay

$49

Average discount available for prompt cash payment at this facility.

Insurance Median

$17

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: $49 (366%)

Insurance Median: $17 (127%)

Cash: $49 (366% of Medicare)

Ins. Median: $17 (127% 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
Community Health Plan Of Washington	$6 - $18	45%
Coordinated Care	$6	45%
Molina	$6 - $24	45%
UnitedHealthcare	$6 - $16	45%
Wellpoint	$6	45%
Premera	$13 - $17	97%
Aetna	$14 - $41	105%
Regence	$14 - $17	105%
Wellcare	$14	105%
Kaiser	$17	127%
Uniform Medical	$17	127%
Ambetter / Centene	$21	157%
Pacificsource	$30 - $44	224%
First Choice	$71 - $105	530%
First Health	$87 - $109	650%
Multiplan/Phcs	$87 - $109	650%
Cigna	$89 - $114	665%

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 $49.
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 Mary Bridge Children's 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.