CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $11
Cash Discount Price: $78
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Sharp Coronado Hospital and Hlthcr Ctr is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 0.82x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$78

Average discount available for prompt cash payment at this facility.

Insurance Median

$11

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: $78 (583%)

Insurance Median: $11 (82%)

Cash: $78 (583% of Medicare)

Ins. Median: $11 (82% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
California Health And Wellness	$2 - $122	15%
Blue Shield	$3 - $110	22%
Cigna	$3	22%
Molina	$3 - $121	22%
Blue Cross Blue Shield	$4 - $146	30%
Health Net	$4 - $175	30%
Humana	$5	37%
Indian Health Council	$6	45%
Medicare (plans)	$7 - $123	52%
Kaiser	$8 - $10	60%
Aetna	$9 - $136	67%
Allianz Global Assistance	$9 - $10	67%
Community Health Group	$9 - $123	67%
County Medical Services	$9	67%
Interplan	$9 - $136	67%
Managed Health Network	$9	67%
UnitedHealthcare	$9 - $155	67%
Multiplan	$10	75%
Medi-Cal	$11	82%
Epic Americas	$66	493%
San Diego Pace	$146	1090%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $78.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80061.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sharp Coronado Hospital and Hlthcr Ctr is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80061.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.