CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: North Alabama Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $14
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at North Alabama Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 1701 Veterans Drive, Florence, AL.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $62 (463%)
Insurance Median: $14 (105%)
Cash: $62 (463% of Medicare)
Ins. Median: $14 (105% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Government Employees Health Association $5 37%
UnitedHealthcare $5 - $13 37%
Blue Cross Blue Shield $10 - $161 75%
Veteran Family Member Program $11 82%
Viva Health $13 97%
Viva Health, Inc $13 - $89 97%
Aetna $14 - $161 105%
Healthspring Markets $14 105%
Humana $14 105%
Wellpoint Tennessee, Inc. $14 105%
Ambetter / Centene $17 127%
Performance Health $17 127%
Mvp Service Corp. Employee Benefit $55 411%
Cigna $56 - $119 418%
Meritain Health $91 680%
Healthpartners $113 844%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Veterans Drive, Florence, AL 35630
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals