CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Flowers Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $22
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Flowers Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.64x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$37

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $37 (276%)
Insurance Median: $22 (164%)
Cash: $37 (276% of Medicare)
Ins. Median: $22 (164% 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
Medicaid / KanCare $5 - $9 37%
Alabama Rehab $9 67%
Bc Pml $10 75%
Node Champva $11 82%
Tricare $11 82%
Blue Cross Blue Shield $12 - $13 90%
UnitedHealthcare $12 - $13 90%
Care Improvement Plus $13 97%
Cigna $13 - $22 97%
Compassionate Hands $13 97%
Covenant Hospice $13 97%
Dayspring Hospice $13 97%
Humana $13 97%
Medicare (plans) $13 97%
Node Devoted Health Mcr Adv $13 97%
Node Hospice Non Par $13 97%
Node Va $13 97%
Node Viva Mcr Adv $13 97%
Occunet $13 97%
Select Health $13 97%
Southern Care Hospice $13 97%
Veterans Eval Services $13 97%
Vistacare Hospice $13 97%
Wiregrass Hospice $13 97%
Aetna $14 - $119 105%
Eon Health Care $14 105%
Node Clover Health Mcr Adv $14 105%
Node Wellcare Mcr Adv $14 105%
Prime Health $14 - $115 105%
Node Us Dept Of Labor $17 127%
Ambetter / Centene $20 149%
Self Pay $24 - $49 179%
S & S Healthcare $41 306%
Choicecare Commercial $57 426%
American Employee Alliance $65 485%
Coventry Healthcare $82 - $124 612%
Viva Health $98 732%
Multiplan $106 - $130 792%
Standard Textile $114 851%
Alamed Wc $115 859%
Health Choice $119 889%
Equian $122 - $129 911%
Qhp $122 911%
Novanet $130 971%
Alabama Work Comp $135 1008%
Ccn/Mednet Ppo $139 1038%
Corvel $139 1038%
Industry Buying Group $139 1038%
Galaxy Health $147 1098%
Health Payors Org $147 1098%
National Provider Net $147 1098%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals