CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Adventist Health White Memorial Montebello

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $15
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Adventist Health White Memorial Montebello is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.12x the Medicare baseline. Located in 309 W Beverly Blvd, Montebello, CA.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $13 (97%)
Insurance Median: $15 (112%)
Cash: $13 (97% of Medicare)
Ins. Median: $15 (112% 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
Aetna $13 - $333 97%
Alignment Health Plan-All Plans $13 97%
Altamed Mcare-All Other Plans $13 97%
Blue Shield Mcare Adv $13 97%
Brand New Day Mcare-All Other Plans $13 97%
Brandman Health Plan-All Plans $13 97%
Caremore-All Plans $13 97%
Clever Care Hp-All Plans $13 97%
Easy Choice Mcare Adv-All Plans $13 97%
Healthnet Med Adv $13 97%
Kaiser Mcare Adv $13 97%
Scan Health-All Plans $13 97%
Oscar-All Plans $14 105%
Altamed Mcal $15 112%
Bc Mcal $15 112%
Blue Shield Promise Mcal $15 112%
Brand New Day Mcal $15 112%
Healthnet Mcal $15 112%
Kaiser Mcal $15 112%
La Care Mcal $15 112%
Medi-Cal $15 112%
Molina Mcal - All Plans $15 112%
Blue Shield Epn Ifp $19 142%
Cigna $25 187%
Healthnet Salud $239 - $271 1785%
Blue Shield Epn Core $271 2024%
Blue Shield Comm - All Other Plans $281 2099%
Healthcare Partners-All Plans $393 - $445 2935%
Healthnet Comm-All Other Plans $515 3846%
Blue Cross Blue Shield $533 - $604 3981%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 309 W Beverly Blvd, Montebello, CA 90640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals