Blood test, cholesterol (lipid panel)
Facility: AHMC Seton Medical Center
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $14
- Cash Discount Price: $113
- vs. Medicare Baseline: 1.05x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Self Pay | $2 - $121 | 15% |
| Chinese Community Health Plan | $7 - $178 | 52% |
| Jade Health Care Mg | $7 - $178 | 52% |
| Interplan Corporation | $8 - $213 | 60% |
| Blue Cross Blue Shield | $9 - $270 | 67% |
| Veterans Administration (Va) | $9 | 67% |
| Health Net | $10 - $272 | 75% |
| Healthcare Foundation Of San Mateo | $10 - $266 | 75% |
| Multiplan/Bce Emergis | $10 - $266 | 75% |
| Private Healthcare Sytems Inc | $10 - $266 | 75% |
| The First Health Network | $10 - $266 | 75% |
| Beech Street Corporation | $11 - $284 | 82% |
| Kaiser | $11 - $291 | 82% |
| Choicecare Network | $12 - $302 | 90% |
| Medi-Cal | $12 | 90% |
| Mills Peninsula Health Services | $12 - $320 | 90% |
| Multiplan | $12 - $302 | 90% |
| Aetna | $13 - $41 | 97% |
| Apcmg | $13 - $20 | 97% |
| Asian American Medical Group | $13 - $17 | 97% |
| Blue Shield Of California | $13 - $171 | 97% |
| Brand New Day | $13 - $17 | 97% |
| Brown And Toland Medical Group | $13 - $17 | 97% |
| Canopy Health | $13 - $24 | 97% |
| Care Advantage | $13 | 97% |
| Cmac | $13 - $14 | 97% |
| Covid-19 Uninsured Program | $13 | 97% |
| For Your Benefit | $13 | 97% |
| Healthnet Seniority | $13 | 97% |
| Hill Physicians Medical Group Inc | $13 - $15 | 97% |
| Humana | $13 | 97% |
| Imperial Health Plan | $13 | 97% |
| Medicare (plans) | $13 | 97% |
| North East Medical Services | $13 - $16 | 97% |
| Pacificare | $13 | 97% |
| UnitedHealthcare | $13 - $27 | 97% |
| Athens Administrators | $14 - $16 | 105% |
| Central Health Plan | $14 | 105% |
| Cigna | $14 - $69 | 105% |
| Corvel Healthcare | $14 - $16 | 105% |
| Easy Choice Hospital Services | $14 | 105% |
| Health Plan Of San Mateo | $14 - $19 | 105% |
| Health Plan Of San Mateo Healthworx | $14 - $16 | 105% |
| Indemnity | $14 - $355 | 105% |
| Knox-Keene Act | $14 - $17 | 105% |
| San Francisco Health Plan | $14 - $16 | 105% |
| San Mateo County/San Mateo County General Hospital | $14 | 105% |
| Tricare | $14 - $16 | 105% |
| Work Comp Other | $14 - $16 | 105% |
| Workers Compensation Federal | $14 - $34 | 105% |
| Ahmc Health | $17 | 127% |