CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Canyon Vista Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $15
  • Cash Discount Price: $118
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Canyon Vista Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.12x the Medicare baseline. Located in 5700 East Highway 90, Sierra Vista, AZ.
Cash / Self-Pay
$118

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $118 (881%)
Insurance Median: $15 (112%)
Cash: $118 (881% of Medicare)
Ins. Median: $15 (112% 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
Medicare (plans) $11 82%
Arizona Physicians Ipa Inc $13 - $14 97%
University Phyicians Inc $13 97%
Veteran Family Member Program $13 97%
Wellmed Medical Management, Inc. $13 97%
Aetna $14 - $46 105%
Azch-Complete Care Plan $14 105%
Humana $14 105%
UnitedHealthcare $14 - $128 105%
Wellcare By Allwell $14 105%
Ambetter / Centene $17 127%
Luminare Health $46 344%
Meritain Health $46 344%
Government Employees Health Association $128 956%
Summit Administration Services-Icl 1144 $152 - $273 1135%
Cigna $175 1307%
Ameriben Solutions $190 1419%
Blue Cross Blue Shield $190 1419%
Summit Administrators, Inc. $190 1419%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5700 East Highway 90, Sierra Vista, AZ 85635
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals