CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $145
Cash Discount Price: $238
vs. Medicare Baseline: 10.83x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 10.83x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$238

Average discount available for prompt cash payment at this facility.

Insurance Median

$145

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: $238 (1777%)

Insurance Median: $145 (1083%)

Cash: $238 (1777% of Medicare)

Ins. Median: $145 (1083% 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 1083% of the Medicare baseline (a markup of 983%). 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
Humana	$13 - $223	97%
Managed Health Services	$13 - $15	97%
Molina Healthcare Of Wi	$13 - $213	97%
Network Health Plan	$13 - $210	97%
Quartz	$13 - $143	97%
Security Health Plan (Shp)	$13 - $145	97%
UnitedHealthcare	$13 - $47	97%
Veteran'S Administration (Va Ccn)	$13	97%
Blue Cross Blue Shield	$14 - $70	105%
Group Health Cooperative Of Eau Claire	$14 - $238	105%
Icare	$14 - $15	105%
My Choice	$14	105%
Trilogy	$14 - $226	105%
The Alliance	$127	948%
Amish/Mennonite	$138	1031%
Wps Health Insurance	$169	1262%
Cigna	$171 - $186	1277%
Health Payment Systems	$175	1307%
First Health	$213	1591%
Healtheos By Multiplan Inc.	$233 - $238	1740%
Health Partners	$238	1777%
Coventry	$241	1800%

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 $238.
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 Marshfield Medical Center - Beaver Dam (Mmc-Bd) 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.