CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Loma Linda University Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $18
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Loma Linda University Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.34x the Medicare baseline. Located in 11234 Anderson St, Loma Linda, CA.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $18 (134%)
Insurance Median: $18 (134%)
Cash: $18 (134% of Medicare)
Ins. Median: $18 (134% 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
Adventist Health $4 - $13 30%
Lluh Dept Of Risk Management $4 - $9 30%
Blue Shield Of California $9 - $24 67%
UnitedHealthcare $11 - $13 82%
Aetna $13 - $24 97%
Alpha Care Medical Group $13 - $20 97%
Dignity Health $13 - $20 97%
Epic Health Plan $13 - $18 97%
Global Benefits Group $13 - $26 97%
Inland Empire Health Plan (Iehp) $13 - $20 97%
Kaiser Foundation Hospitals $13 - $29 97%
Temecula Valley Physicians Medical Group $13 - $24 97%
Trivalley Medical Group $13 - $24 97%
Upland Medical Group $13 97%
Vantage Medical Group $13 - $20 97%
Cigna $14 - $29 105%
Networks By Design $14 - $29 105%
Prime Health Services $14 - $37 105%
Riverside University Health System $15 112%
Multiplan $16 - $33 119%
Central Health Plan $18 - $35 134%
Molina Healthcare Of Ca $18 134%
Galaxy Health $19 - $37 142%
Blue Cross Blue Shield $20 - $97 149%
Health Management Network $20 - $40 149%
Heritage Provider Network $22 164%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11234 Anderson St, Loma Linda, CA 92354
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals