CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Adventist Health White Memorial
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $146
- Cash Discount Price: $93
- vs. Medicare Baseline: 10.90x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Adventist Health White Memorial is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 10.90x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$93
Average discount available for prompt cash payment at this facility.
Insurance Median
$146
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: $93 (695%)
Insurance Median: $146 (1090%)
Cash: $93 (695% of Medicare)
Ins. Median: $146 (1090% 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 1090% of the Medicare baseline (a markup of 990%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Shield - All Other Plans | $3 - $177 | 22% |
| Blue Shield Epn | $3 - $152 | 22% |
| Blue Shield Mcr Adv | $3 - $192 | 22% |
| Bc Medi-Cal | $4 | 30% |
| Pacific Ipa - All Other Plans | $4 - $243 | 30% |
| UnitedHealthcare | $4 - $320 | 30% |
| Healthnet - All Other Plans | $5 - $289 | 37% |
| Healthnet Comm Care | $5 - $298 | 37% |
| Kaiser- All Plans | $5 - $262 | 37% |
| Caremore Mcare - All Plans | $6 - $320 | 45% |
| Hcpamg - All Plans | $6 - $320 | 45% |
| Healthcare Inc - All Other Plans | $6 - $351 | 45% |
| La Care Mcr Adv - All Plans | $6 - $351 | 45% |
| Western Growers/Pinnacle - All Plans | $6 - $326 | 45% |
| First Heatlh Ppo - All Plans | $7 - $371 | 52% |
| Phcs Ppo - All Plans | $8 - $415 | 60% |
| Scan Health Mcare - All Plans | $8 - $415 | 60% |
| Ahf - All Plans | $9 - $479 | 67% |
| Beech Street - All Plans | $9 - $479 | 67% |
| Corvel Corp - All Plans | $9 - $511 | 67% |
| Interplan Ppo - All Plans | $9 - $479 | 67% |
| Fpn Ppo - All Plans | $10 - $575 | 75% |
| Healthmannet - All Plans | $10 - $543 | 75% |
| Multiplan Ppo - All Plans | $10 - $530 | 75% |
| Next Inc Ppo - All Plans | $10 - $543 | 75% |
| Trpn - All Plans | $10 - $543 | 75% |
| Access Group | $11 | 82% |
| Ahp - All Other Plans | $11 | 82% |
| Lasalle Mg Commercial - All Other Plans | $11 | 82% |
| Access Medi-Cal | $12 - $15 | 90% |
| Ahp Medi-Cal | $12 - $15 | 90% |
| Alta Los Angeles Mcal 1/1/19 | $12 - $15 | 90% |
| Altamed Medi-Cal - All Other Plans | $12 - $18 | 90% |
| Assoc Hispanic Physcns Mcal | $12 - $22 | 90% |
| Avanti Mcal | $12 - $15 | 90% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $12 | 90% |
| Bella Vista Medi-Cal Op/Profee Only | $12 - $15 | 90% |
| Blue Shield Medi-Cal | $12 - $38 | 90% |
| Care First Medi-Cal | $12 - $54 | 90% |
| Fcs Ipa Medi-Cal Op/Profee Only | $12 - $18 | 90% |
| Healthcare Inc Medi-Cal | $12 - $15 | 90% |
| Healthnet Mcal | $12 - $18 | 90% |
| Lasalle Mg Medi-Cal | $12 - $15 | 90% |
| Medi-Cal | $12 - $15 | 90% |
| Molina Medi-Cal | $12 - $15 | 90% |
| Pacific Alliance Medi-Cal | $12 - $15 | 90% |
| Pacific Ipa Medi-Cal | $12 - $15 | 90% |
| Preferred Healthy | $12 - $19 | 90% |
| Preferred Ipa La Care Mcal Cap | $12 - $15 | 90% |
| Preferred Medi-Cal | $12 - $15 | 90% |
| Access Senior - All Other Plans | $13 | 97% |
| Ahp Senior | $13 | 97% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $13 | 97% |
| Altamed Connect | $13 | 97% |
| Avanti Mcr Adv - All Other Plans | $13 | 97% |
| Brand New Day Mcare - All Plans | $13 | 97% |
| Bs Va Mcare | $13 | 97% |
| Care First Mcare - All Other Plans | $13 | 97% |
| Clever Care - All Plans | $13 | 97% |
| Fcs Ipa Mcr Advan Op/Profee Only | $13 | 97% |
| Humana | $13 | 97% |
| Lasalle Mg Senior | $13 | 97% |
| Medicare (plans) | $13 | 97% |
| Molina Mcare | $13 | 97% |
| Pacific Alliance Mcare - All Other Plans | $13 | 97% |
| Preferred Senior | $13 | 97% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $13 | 97% |
| Tricare | $13 | 97% |
| Blue Cross Blue Shield | $14 - $149 | 105% |
| Fcs Ipa Op/Profee Only - All Other Plans | $14 | 105% |
| Bright Health - All Plans | $15 | 112% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $16 | 119% |
| Preferred Commercial - All Other Plans | $16 | 119% |
| Intergrated Medical - All Plans | $17 | 127% |
| Healthnet Mcr Adv | $18 - $978 | 134% |
| Molina Benefit Exchange - All Other Plans | $18 | 134% |
| Php-Prospect Health Plan Cap - All Plans | $20 | 149% |
| Ah Employee Health Plan - All Plans | $24 | 179% |
| Centivo - All Plans | $30 | 224% |
| Cigna | $56 | 418% |
| Aetna | $71 | 530% |