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Lipid panel

CPT 80061 · negotiated-rate distribution across hospitals in TN

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Hospitals
15
Min
$13.39
Median
$13.93
Max
$24.01
Range multiplier
1.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare12135$5.62$13.39$100.2817.8×
Blue Cross Blue Shield13135$13.39$28.27$69.185.2×
Cigna12134$13.26$27.38$51.923.9×
Aetna1248$13.66$18.98$175.8112.9×
Medicare827$12.59$13.39$14.061.1×
Humana1127$13.39$13.39$27.612.1×
community plan819$4.82$12.05$12.052.5×
Medicare Advantage817$13.39$13.39$13.391.0×
smart health714$18.75$18.75$18.751.0×
point comfort underwriters714$12.05$12.05$12.051.0×
healthspring mcr replacement714$13.39$13.39$13.391.0×
optum va714$13.39$13.39$13.391.0×
amerigroup mcr replacement714$13.39$13.39$13.791.0×
Ambetter714$17.41$17.41$17.411.0×
nhc advantage714$13.39$13.39$13.391.0×
centurion of tn714$13.39$13.39$13.391.0×
ascension complete612$13.39$13.39$13.391.0×
medsave usa39$1.32$21.60$108.0081.8×
beech street39$1.40$22.95$114.7582.0×
ccn managed care39$1.40$22.95$114.7582.0×
community services network39$1.07$17.55$87.7582.0×
direct care america39$1.32$21.60$108.0081.8×
galaxy health network39$1.48$24.30$121.5082.1×
initial group39$1.45$23.76$118.8081.9×
national provider network39$1.32$21.60$108.0081.8×
novanet39$1.23$20.25$101.2582.3×
usa managed care organization39$1.15$18.90$94.5082.2×
wellpoint39$6.03$14.06$14.062.3×
Self-Pay (Cash)77$13.39$13.39$13.391.0×
Oscar Health77$18.75$18.75$18.751.0×
devoted health36$14.06$14.06$14.061.0×
Medicaid16$12.05$14.29$18.161.5×
triwest va pccc36$13.39$13.39$13.391.0×
ehn36$12.15$36.45$60.755.0×
farm bureau36$13.93$13.93$13.931.0×
correctional medical services36$16.20$48.60$81.005.0×
TRICARE45$12.85$13.39$13.391.0×
optum33$13.39$13.39$13.391.0×
WellCare33$14.06$14.06$14.061.0×
americhoice mcr replacement12$12.59$12.93$13.261.1×
Molina12$12.05$13.56$15.061.2×
american health advantage mcr adv [450117]11$13.39$13.39$13.391.0×
carecentrix [450200]11$13.39$13.39$13.391.0×
bluecare11$30.34$30.34$30.341.0×
va hospital [600005]11$13.39$13.39$13.391.0×
amerigroup mcaid replacement11$12.45$12.45$12.451.0×
amerigroup11$12.45$12.45$12.451.0×
tenncare11$30.34$30.34$30.341.0×
transplant optum tenncare [350013]11$9.79$9.79$9.791.0×
generic hospice vbid [10940000101]11$13.39$13.39$13.391.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Metro Nashville General HospitalNashvilleTN4$148.00$88.80$13.39$24.01$81.40
St Thomas Hickman HospitalCentervilleTN5$12.05$18.75$51.92
Roane County Medical CenterHarrimanTN23$135.00$41.85$1.07$14.06$121.50
Morristown-Hamblen HospitalMorristownTN23$135.00$41.85$1.07$14.06$121.50
Fort Loudoun Medical CenterLenoir CityTN23$135.00$43.20$1.07$14.06$121.50
Saint Thomas West HospitalNashvilleTN20$338.10$101.43$12.05$13.93$175.81
Saint Thomas Rutherford HospitalMurfreesboroTN20$338.10$101.43$12.05$13.93$175.81
Saint Thomas Midtown HospitalNashvilleTN22$4.82$13.39$51.92
Methodist H/C Memphis Hospt.MemphisTN14$184.00$40.48$5.62$13.39$100.28
St Thomas Dekalb HospitalSmithvilleTN19$338.10$101.43$9.40$13.39$175.81
Ascension St Thomas River ParkMcminnvilleTN20$338.10$101.43$9.40$13.39$175.81
Saint Thomas Highland HospitalSpartaTN19$338.10$101.43$9.40$13.39$175.81
Saint Thomas Stones River HospitalWoodburyTN19$338.10$101.43$9.40$13.39$175.81
Big South Fork Medical CenterOneidaTN0$80.00$24.00
St Thomas AscensionNashvilleTN0$311.12$76.85

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.