CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $166
Cash Discount Price: $172
vs. Medicare Baseline: 12.40x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at University of Wi Hospitals & Clinics Authority is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $172. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 12.40x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.

Cash / Self-Pay

$172

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

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: $172 (1285%)

Insurance Median: $166 (1240%)

Cash: $172 (1285% of Medicare)

Ins. Median: $166 (1240% 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 1240% of the Medicare baseline (a markup of 1140%). 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
Aetna	$13 - $229	97%
Blue Cross Blue Shield	$13 - $272	97%
Humana	$13	97%
Medicare (plans)	$13 - $14	97%
UnitedHealthcare	$13 - $179	97%
Alliance_Premier_Network	$137	1023%
Mercycare	$142	1060%
Triology	$146 - $174	1090%
Security_Health_Plan	$154 - $182	1150%
Employer'S_Coalition_On_Health	$157 - $220	1173%
Alliance	$161	1202%
Hfn	$163 - $220	1217%
United_Healthcare	$164 - $243	1225%
Beloit_Health_System	$166	1240%
Aspirus_Health_Plan	$167	1247%
Cigna	$172	1285%
Health_Partners_Insurance	$174	1299%
Health_Payment_Systems	$175	1307%
Dean_Health_Plan	$183	1367%
Medical_Associates	$189	1412%
Wps	$198 - $218	1479%
Employers_Healthcare_Coalition_Of_Wi	$200	1494%
Aspirus_Network_Inc	$220	1643%
Chorus_Community	$229	1710%
Ghc_Eau_Claire_Health_Plan	$229	1710%
Multiplan	$229 - $263	1710%
Sheybogan_Employers_Health_Network	$229	1710%
Coventry	$243	1815%
Dean_Care	$243	1815%
Healthsmart	$252	1882%

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 $172.
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 University of Wi Hospitals & Clinics Authority 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.