CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $16
- Cash Discount Price: $273
- vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at AHMC Anaheim Regional Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.19x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$273
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: $273 (2039%)
Insurance Median: $16 (119%)
Cash: $273 (2039% 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
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 |
|---|---|---|
| Veterans Administration | $9 | 67% |
| Affiliated Doctors Of Orange County | $11 | 82% |
| Ahmc Reciprocity Agreement | $12 - $82 | 90% |
| Allied Physicians | $12 - $20 | 90% |
| Alta Los Angeles Hospital | $12 | 90% |
| Altamed Health Network | $12 - $13 | 90% |
| Applecare Medical Group | $12 | 90% |
| Beverly Hospital | $12 - $15 | 90% |
| Brand New Day | $12 - $17 | 90% |
| Health Net | $12 | 90% |
| Healthcare Partners | $12 - $13 | 90% |
| Healthy Way La | $12 | 90% |
| Heritage Provider Network | $12 - $18 | 90% |
| Kaiser Foundation Hospitals | $12 - $13 | 90% |
| Medical Safety Net Program | $12 | 90% |
| Non Contracted Medi-Cal | $12 | 90% |
| Prospect Health Plan | $12 - $18 | 90% |
| Prospect Medical Group | $12 | 90% |
| Talbert Medical Group | $12 - $13 | 90% |
| Aetna | $13 - $73 | 97% |
| Aids Health Foundation | $13 | 97% |
| Alignment Health Plan | $13 | 97% |
| Apa Aco Inc | $13 | 97% |
| Avanti | $13 - $16 | 97% |
| Blue Cross Blue Shield | $13 - $50 | 97% |
| Blue Shield Of California | $13 - $180 | 97% |
| California Health Plan | $13 | 97% |
| Caloptima | $13 - $17 | 97% |
| Central Health Of California | $13 | 97% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $13 | 97% |
| Davita Heatlhcare Partners Plan Inc | $13 - $147 | 97% |
| Emanate Health | $13 - $17 | 97% |
| Health Net Inc | $13 - $210 | 97% |
| Healthnet | $13 | 97% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $13 | 97% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $13 | 97% |
| Hollywood Presbyterian Medpoint Mcal | $13 | 97% |
| Humana | $13 | 97% |
| Innovative Integrated Health (Iih)/Orange County Pace | $13 | 97% |
| Medi-Cal | $13 | 97% |
| Medicare (plans) | $13 - $136 | 97% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $13 | 97% |
| Monarch Health Plan | $13 - $185 | 97% |
| Pacificare | $13 | 97% |
| Private Pay Flat Rate | $13 | 97% |
| Scan Health Plan | $13 | 97% |
| Self-Pay | $13 | 97% |
| Seoul Medical Group | $13 | 97% |
| Wellcare | $13 | 97% |
| Align Senior Care | $14 | 105% |
| Angels Baseball Workers Comp | $14 | 105% |
| Interplan | $14 - $191 | 105% |
| Nchp | $14 | 105% |
| Tricare | $14 | 105% |
| Cigna | $15 - $16 | 112% |
| Athens Administrators | $16 | 119% |
| Capp Care | $16 - $205 | 119% |
| Corvel | $16 - $205 | 119% |
| First Health | $16 - $232 | 119% |
| Marriot Intl | $16 | 119% |
| Non Contracted Workers Comp | $16 | 119% |
| Orange County Preferred Provider Organization | $16 - $205 | 119% |
| Ahmc Health Self-Insurance Epo | $17 | 127% |
| Knox-Keene Act | $17 | 127% |
| UnitedHealthcare | $27 - $54 | 202% |
| Monarch Healthcare Medical Group | $33 | 246% |
| Msi/Medical Services For Indigents | $52 | 388% |
| Netcare Life And Health Insurance | $68 | 508% |
| Advance Clinical Research Institute | $82 | 612% |
| Memorial Healthcare Ipa | $82 | 612% |
| Medical Acquisition Company | $109 | 814% |
| Healthcare Partners Commercial | $147 | 1098% |
| Huntington Memorial Hospital | $147 | 1098% |
| Genesis Healthcare Ipa Ancillary | $164 | 1225% |
| Affiliated Health Fund | $191 | 1426% |
| Allnet Preferred Provider | $191 | 1426% |
| Care First | $191 | 1426% |
| Private Healthcare Systems | $191 | 1426% |
| Choicecare | $205 | 1531% |
| Multiplan Inc | $205 | 1531% |
| National Provider Network | $218 | 1628% |
| Three Rivers Providers Network | $218 | 1628% |
| Health Payors Organization | $246 | 1837% |
| Non Contracted Commercial | $273 | 2039% |