Blood test, cholesterol (lipid panel)
Facility: Bmh-Calhoun
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $398
- Cash Discount Price: $267
- vs. Medicare Baseline: 29.72x 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 2972% of the Medicare baseline (a markup of 2872%). 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 |
|---|---|---|
| Veterans Evaluation Services | $13 | 97% |
| Molina | $14 - $409 | 105% |
| Blue Cross Blue Shield | $19 - $228 | 142% |
| PPO Holdings | $195 | 1456% |
| Magnolia Regional Health Center | $206 | 1538% |
| Tricare | $210 | 1568% |
| Vaccn | $221 | 1650% |
| Ms Breast and Cervical | $221 | 1650% |
| Triwest | $221 | 1650% |
| Devoted Health | $225 | 1680% |
| Humana | $232 - $411 | 1733% |
| Primewell | $232 | 1733% |
| American Health Plan | $232 | 1733% |
| Shared Health | $232 | 1733% |
| Aetna | $232 - $334 | 1733% |
| Magnolia Ms | $252 | 1882% |
| Littler | $257 | 1919% |
| Cigna | $283 | 2114% |
| First Choice Health Plan of Ms | $332 | 2479% |
| First State Bank Trust | $376 | 2808% |
| Burch Food Services | $376 | 2808% |
| Retzer Resources | $398 | 2972% |
| Eas Mssc Schools | $398 | 2972% |
| Crittenden County | $398 | 2972% |
| Carlisle | $398 | 2972% |
| Arlington Community Schools | $398 | 2972% |
| United Tn Holdings | $398 | 2972% |
| State Systems | $398 | 2972% |
| Desoto Co Board of Supervisors | $398 | 2972% |
| Ashley Furniture Stores | $398 | 2972% |
| First Community Bank | $398 | 2972% |
| Security One | $398 | 2972% |
| Patterson Warehouses | $398 | 2972% |
| Jas D Collier | $398 | 2972% |
| Armstrong Relocation | $398 | 2972% |
| French Camp Academy | $398 | 2972% |
| Radians | $398 | 2972% |
| Collierville Schools | $398 | 2972% |
| City of Lakeland | $398 | 2972% |
| Brimhall Foods | $398 | 2972% |
| Hattiesburg Clinic | $398 | 2972% |
| Delta Industries | $398 | 2972% |
| Minact | $398 | 2972% |
| Gossett Motor Cars | $398 | 2972% |
| W G Yates | $398 | 2972% |
| Mid-South Transport | $398 | 2972% |
| Hollowell Industries | $398 | 2972% |
| Dunn Investment Company | $398 | 2972% |
| Cannon Motor Company | $398 | 2972% |
| Watkins Uiberall | $398 | 2972% |
| Vaughn Electric | $398 | 2972% |
| Davidson Hospitality | $398 | 2972% |
| Rei Nation | $398 | 2972% |
| Town of Collierville | $398 | 2972% |
| Malco Theaters | $398 | 2972% |
| Ritchey Automotive | $398 | 2972% |
| Lakeland School System | $398 | 2972% |
| Y K Auto Group | $398 | 2972% |
| Building Plastic | $398 | 2972% |
| Heartland Catfish Company | $398 | 2972% |
| City of Bartlett | $398 | 2972% |
| Hospitality Management Advisors | $398 | 2972% |
| Silver Tree | $398 | 2972% |
| Heavy Machines | $398 | 2972% |
| W W Wood Products | $398 | 2972% |
| Mechanical Systems | $398 | 2972% |
| Bartlett City Schools | $398 | 2972% |
| Advanced Health Systems Inc. | $411 | 3069% |
| Christian Health Aid | $411 | 3069% |
| PPO Plus | $437 | 3264% |
| Employers Health Network | $442 | 3301% |
| Harding Academy | $442 | 3301% |
| Multiplan | $463 | 3458% |
| Qca | $463 | 3458% |