CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Parkview Community Hospital Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $17
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Parkview Community Hospital Medical Center is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.27x the Medicare baseline. Located in 3865 Jackson Street, Riverside, CA.
Cash / Self-Pay
$175

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $175 (1307%)
Insurance Median: $17 (127%)
Cash: $175 (1307% of Medicare)
Ins. Median: $17 (127% 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
Iehp $11 - $17 82%
Central Health Plan $12 90%
Aetna $13 - $5,045 97%
Alignment $13 97%
Blue Cross Blue Shield $13 - $70 97%
Blue Shield $13 - $143 97%
Champus $13 97%
Health Net $13 - $20 97%
Humana $13 97%
Medi-Cal $13 97%
Medicare (plans) $13 97%
Molina Covered Ca $13 97%
Molina Medi-Cal $13 97%
Molina Senior $13 97%
Scan $13 97%
Regal $16 - $88 119%
Cigna $26 194%
UnitedHealthcare $27 - $63 202%
Ahmc $53 396%
Blue Shield Ppo $140 1046%
Self Pay $175 1307%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3865 Jackson Street, Riverside, CA 92503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals