CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Adventist Health Delano

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $15
Cash Discount Price: $4
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Adventist Health Delano is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.12x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.

Cash / Self-Pay

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: $4 (30%)

Insurance Median: $15 (112%)

Cash: $4 (30% 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.

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
Blue Cross Blue Shield	$3 - $121	22%
Blue Shield Epn - All Other Plans	$3 - $32	22%
Coventry- All Plans	$7 - $88	52%
Blue Shield Non-Epn	$8 - $95	60%
County Of Kern Network - All Plans	$8 - $102	60%
Gem Care- All Plans	$8 - $102	60%
Healthnet- All Other Plans	$8 - $98	60%
UnitedHealthcare	$8 - $105	60%
Cigna	$9 - $117	67%
Foundation For Medical Care Of Kern County - All P	$9 - $110	67%
Western Growers - All Plans	$9 - $118	67%
Dignty Hlth Mcal Op Only	$12 - $15	90%
Healthnet Medi-Cal	$12 - $18	90%
Kaiser Medi-Cal Ip/Op Only	$12 - $15	90%
Kern Health System Mcal	$12 - $20	90%
Medi-Cal	$12 - $15	90%
Universal Care Mcal	$12 - $15	90%
Bakersfield Fam Med Grp-All Plans	$13	97%
Healthnet Mcr Adv	$13	97%
Kern Mcr Adv Dual Dnsp-All Other Plans	$13	97%
Medicare (plans)	$13 - $21	97%
Tricare	$13	97%
Universal Care Mcr- All Other Plans	$13	97%
Kaiser Comm Ip/Op Only- All Other Plans	$23	172%
Ah Employee Health Plan - All Plans	$24	179%
Centivo - All Plans	$30	224%
Aetna	$88	657%

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 $4.
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 Adventist Health Delano 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.