CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Marinhealth Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $25
  • Cash Discount Price: $310
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Marinhealth Medical Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $310. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.87x the Medicare baseline. Located in 250 Bon Air Road, Greenbrae, CA.
Cash / Self-Pay
$310

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $310 (2315%)
Insurance Median: $25 (187%)
Cash: $310 (2315% of Medicare)
Ins. Median: $25 (187% 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 - $28 97%
Brown And Tolan $13 97%
Healthnet Tailored Network $13 97%
Kaiser $13 97%
Marin Cancer Care $13 97%
Blue Cross Blue Shield $17 - $20 127%
Canopy Hill Physicians $17 127%
Cigna $17 - $41 127%
Healthnet Hmo/Ppo Hill Physicians $17 127%
Hills Blue Shield Hmo/Ppo $17 127%
Ca Prison Health Care Services $21 157%
Healthnet Enhancedcare $35 261%
UnitedHealthcare $37 - $2,330 276%
Provider Network Of America $64 478%
Canopy $77 575%
Blue Shield Cpic/Epo $79 590%
Providers Network Of America $84 627%
Blue Shield Hmo/Ppo $88 657%
Healthnet Hmo/Ppo $89 665%
Blue Shield Aco $91 680%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 250 Bon Air Road, Greenbrae, CA 94904
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals