Blood test, cholesterol (lipid panel)
Facility: Johnson Memorial Hospital
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $28
- Cash Discount Price: $52
- vs. Medicare Baseline: 2.09x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 209% of the Medicare baseline (a markup of 109%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Geha | $13 | 97% |
| Blue Cross Blue Shield | $13 - $28 | 97% |
| Aetna | $13 - $27 | 97% |
| UnitedHealthcare | $13 - $94 | 97% |
| Connecticut Dept of Correction | $13 | 97% |
| Harvard Pilgrim Healthcare | $13 | 97% |
| Medicare (plans) | $13 - $14 | 97% |
| Cca Senior Care Options | $13 | 97% |
| Cigna | $14 - $77 | 105% |
| Centivo | $17 | 127% |
| Fallon Health | $17 | 127% |
| Connecticare | $23 - $25 | 172% |
| Gravie Admin Services | $27 | 202% |
| Allied Benefit Systems | $27 | 202% |
| Luminare Health | $27 | 202% |
| Hap | $27 | 202% |
| Meritain | $27 | 202% |
| Webtpa | $27 | 202% |
| Nippon Life Ins | $27 | 202% |
| 1199 National Benefit Fund | $27 | 202% |
| Blue Benefit Administrators of Massachusetts | $28 | 209% |
| Pre-Employment | $28 | 209% |
| Blue Distinction Transplant | $28 | 209% |
| Kaiser Domestic | $28 | 209% |
| Wellpoint | $28 | 209% |
| Unicare | $28 | 209% |
| Innovative Health Plan II | $28 | 209% |
| Blue Shield - Ca | $28 | 209% |
| Blue Shield - Id (Regence) | $28 | 209% |
| Claimdoc | $28 | 209% |
| Bcn Domestic | $28 | 209% |
| Wc Domestic | $28 | 209% |
| Health Choices | $28 | 209% |
| Blue Shield - Ny Highmark Northeastern | $28 | 209% |
| Blue Care Network | $28 | 209% |
| Blue Shield - Wa (Regence) | $28 | 209% |
| Blue Shield - Ny Highmark Western | $28 | 209% |
| Blue Shield - PA (Highmark) | $28 | 209% |
| Diversified Administrators | $28 | 209% |
| Health New England | $61 | 456% |
| Prime Health Services | $75 | 560% |
| Allegiance | $77 | 575% |
| Magnacare | $77 | 575% |
| Health Partners | $77 | 575% |
| Allied National Global Care | $78 | 583% |
| Medi Share | $78 | 583% |
| Pai | $78 | 583% |
| Christian Care Ministry | $78 | 583% |
| Trinity Health Share | $78 | 583% |
| Multiplan | $78 | 583% |
| Asrm - Reliance Standard Life Insurance | $78 | 583% |
| PHCS | $78 | 583% |
| Manhattan Life | $78 | 583% |
| Lifetime Benefit Solutions | $78 | 583% |
| Family Life Insurance Company | $78 | 583% |
| Ghc Scw | $78 | 583% |
| Mvp | $78 | 583% |
| Paramount HMO | $78 | 583% |
| Dean Health | $78 | 583% |
| International Benefit Administrators | $78 | 583% |
| Pan-American Life | $78 | 583% |
| Health Smart | $80 | 597% |
| United Behavioral Health Eap | $94 | 702% |