Blood test, cholesterol (lipid panel)
Facility: Oakleaf Surgical Hospital
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $13
- Cash Discount Price: $80
- vs. Medicare Baseline: 0.97x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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 | $13 | 97% |
| Dean Health Plan | $13 | 97% |
| Group Health Cooperative Of Eau Claire | $13 | 97% |
| Healthpartners | $13 | 97% |
| Humana | $13 | 97% |
| Medica | $13 | 97% |
| Quartz Health Solutions | $13 | 97% |
| Security Health Plan Of Wi | $13 | 97% |
| Ucare Wi | $13 | 97% |
| UnitedHealthcare | $13 | 97% |
Consumer Guidance & Cost Commentary
Oakleaf Surgical Hospital, located at 1000 Oakleaf Way in Altoona, Wisconsin, offers a code for Blood test, cholesterol (lipid panel) with a cash median rate of $80. This facility is an Acute Care Hospital owned by a Physician group and is rated against a state average of 10 payers. For patients with high-deductible plans, the cash price of $80 may be preferable to the median negotiated rate of $13 or the median paid rate of $68, as insurance contracts often include administrative overhead that can inflate the final cost. While the facility's cash rate is significantly lower than the gross charge of $89, it is important to note that the negotiated rate of $13 is substantially lower than the cash price, suggesting that for those with active insurance coverage, the contracted amount is the primary benchmark.
Patients should be aware that balance billing can occur if a provider bills the full chargemaster rate instead of the negotiated amount, though the No Surprises Act provides protections for emergency and non-emergency services at in-network facilities. To avoid unexpected costs, consumers must request a full itemized billing audit rather than accepting summary bills, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Additionally, verifying the deductible status before scheduling is crucial, as paying the negotiated rate of $13 without meeting the deductible could result in out-of-pocket expenses exceeding the cash option. Finally, patients should explicitly ask for self-pay or prompt-pay discounts prior to check-in, as hospitals often offer immediate fee reductions to bypass costly claims processing and administrative labor.