CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: El Centro Regional Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $13
  • Cash Discount Price: $109
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at El Centro Regional Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 0.97x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.
Cash / Self-Pay
$109

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $109 (814%)
Insurance Median: $13 (97%)
Cash: $109 (814% of Medicare)
Ins. Median: $13 (97% 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
Aetna $2 - $135 15%
Pacificare-All Plans $3 - $190 22%
UnitedHealthcare $3 - $154 22%
Cigna $4 - $230 30%
Mulitplan Primary - All Other Plans $4 - $209 30%
Multiplan Comp $4 - $246 30%
Healthnet Comm-All Other Plans $5 - $276 37%
Humana $5 - $286 37%
Trident - All Plans $5 - $261 37%
Ahccs/Medi-Cal Misc - All Plans $6 - $307 45%
Ambetter / Centene $6 - $316 45%
Blue Cross Blue Shield $6 - $307 45%
Brand New Day Mcal $6 - $307 45%
Medi-Cal $6 - $307 45%
Molina Exchange - All Other Plans $6 - $307 45%
Molina Mcal $6 - $338 45%
Brand New Day Comm - All Other Plans $13 97%
Brand New Day Mcr $13 97%
Healthnet Mcr Adv $13 97%
Molina Mcr Adv $13 97%
Scp Managed Care - All Plans $13 97%
Tricare $13 97%
Easy Choice Mcr Adv-All Plans $15 112%
Cdcr Correctional-All Plans $17 127%
Healthnet Hmo $17 127%
Blue Shield-All Plans $84 627%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1415 Ross Avenue, El Centro, CA 92243
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals