CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: University of Alabama Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $94
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 7.02x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at University of Alabama Hospital is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 7.02x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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%)
Insurance Median: $94 (702%)
Ins. Median: $94 (702% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 702% of the Medicare baseline (a markup of 602%). 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.

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
Viva $10 - $14 75%
Humana $12 - $159 90%
Birmingham Fc $13 97%
Blue Cross Blue Shield $13 97%
Cooper Green $13 97%
Davita Villagehealth $13 97%
Jefferson County Sheriff $13 97%
Triwest $13 97%
UnitedHealthcare $13 - $102 97%
Cigna $14 - $125 105%
Ambetter / Centene $18 134%
University Of Alabama $38 - $94 284%
Aetna $46 - $114 344%
Coventry $49 - $151 366%
North Alabama Managed Care $49 - $122 366%
Comp One $54 - $135 403%
Alamed $56 - $140 418%
Construction Claims Management $56 - $140 418%
Corvel $60 - $150 448%
Evolutions $60 - $168 448%
Healthcare Alliance $60 - $150 448%
Novanet $60 - $168 448%
Prime Health Services $60 - $168 448%
Select Value Care $60 - $150 448%
Starcare $60 - $150 448%
Tethys $60 - $150 448%
Multiplan $62 - $153 463%
Department Of Labor $64 - $159 478%
Geha $64 - $159 478%
Gulf Health Plans $64 - $159 478%
Heritage Summit Health $64 - $159 478%
Mississippi Physicians $64 - $159 478%
Phifer $64 - $159 478%
Preferred Health Partnership $64 - $159 478%
Southern Nuclear $64 - $159 478%
Vantage Health Plan $64 - $159 478%
Galaxy Health Network $68 - $168 508%
National Provider Network $68 - $168 508%
North Mississippi Health Link $68 - $168 508%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals