CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: San Gabriel Valley Medical Center
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $16
- Cash Discount Price: $152
- vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at San Gabriel Valley Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.19x the Medicare baseline. Located in 438 W Las Tunas Drive, San Gabriel, CA.
Cash / Self-Pay
$152
Average discount available for prompt cash payment at this facility.
Insurance Median
$16
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: $152 (1135%)
Insurance Median: $16 (119%)
Cash: $152 (1135% of Medicare)
Ins. Median: $16 (119% 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
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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 |
|---|---|---|
| Veterans Administration | $9 | 67% |
| Ahmc Medi-Cal Reciprocity | $12 | 90% |
| Allied Physicians | $12 - $20 | 90% |
| Altamed Health Network | $12 - $13 | 90% |
| Beverly Hospital | $12 - $15 | 90% |
| Brand New Day | $12 - $178 | 90% |
| Emanate Health | $12 - $17 | 90% |
| Healthnet Medi-Cal Non-Contract | $12 | 90% |
| Healthy Way La | $12 | 90% |
| Non Contracting Medi Cal | $12 | 90% |
| Aetna | $13 - $23 | 97% |
| Aids Healthcare Foundation | $13 - $203 | 97% |
| Alignment Health Plan | $13 | 97% |
| Apa/Aco Inc | $13 | 97% |
| Avanti | $13 - $16 | 97% |
| Blue Cross Blue Shield | $13 - $65 | 97% |
| Blue Shield Of California | $13 - $189 | 97% |
| Central Health Plan | $13 - $305 | 97% |
| Cv-19 Hrsa Uninsured Testing And Tx | $13 | 97% |
| Health Net | $13 - $295 | 97% |
| Health Net Inc | $13 - $31 | 97% |
| Hollywood Presbyterian Adv Med Mcal | $13 | 97% |
| Hollywood Presbyterian Medpoint Mcal | $13 | 97% |
| Humana | $13 | 97% |
| Inter Valley Health Plan | $13 | 97% |
| La Care Health Plan | $13 | 97% |
| Medicaid / KanCare | $13 | 97% |
| Medicare (plans) | $13 | 97% |
| Molina Healthcare Of California | $13 - $198 | 97% |
| Pacific Alliance Medical Center | $13 | 97% |
| Pacificare Of California | $13 - $166 | 97% |
| Physicians Healthways | $13 | 97% |
| Providence Health Network | $13 | 97% |
| Self-Pay | $13 | 97% |
| St Vincent Medical Center/Psych | $13 | 97% |
| Tricare | $13 | 97% |
| Wellcare | $13 | 97% |
| Cigna | $15 | 112% |
| Athens Administrators | $16 | 119% |
| Beech Street | $16 - $406 | 119% |
| Care 1St Health Plan | $16 - $330 | 119% |
| Chinatown Service Center Pace | $16 | 119% |
| Other Non Contracting Workers Comp | $16 | 119% |
| Ahmc Health Self-Insurance Epo | $17 | 127% |
| Knox-Keene Act | $17 | 127% |
| UnitedHealthcare | $27 - $54 | 202% |
| Private Pay | $39 | 291% |
| Ahmc Reciprocity | $152 | 1135% |
| Alignment Healthplan | $178 | 1329% |
| Clever Care | $178 | 1329% |
| Pacific Independent Physician Associates | $203 | 1516% |
| Facey Medical | $254 | 1897% |
| Community Care Network | $330 | 2465% |
| Choicecare Network | $356 | 2659% |
| Private Healthcare Systems (Phcs) | $356 | 2659% |
| Affiliated Health Fund | $381 | 2845% |
| Multiplan | $457 | 3413% |
| Ppo Next | $457 | 3413% |
| Managed Health Network | $508 | 3794% |
| Medi-Cal Sub Acute | $508 | 3794% |
| One Legacy | $508 | 3794% |
| Other Non Contracted Commercial | $508 | 3794% |
| Us Behavioral Health Plan | $508 | 3794% |