CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Adventist Health Twin Cities

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $138
Cash Discount Price: $60
vs. Medicare Baseline: 10.31x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Adventist Health Twin Cities is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 10.31x the Medicare baseline. Located in 1100 Las Tablas Rd, Templeton, CA.

Cash / Self-Pay

$60

Average discount available for prompt cash payment at this facility.

Insurance Median

$138

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: $60 (448%)

Insurance Median: $138 (1031%)

Cash: $60 (448% of Medicare)

Ins. Median: $138 (1031% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1031% of the Medicare baseline (a markup of 931%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$13	97%
Cencal Mcr Adv - All Other Plans	$13	97%
Tricare	$13	97%
UnitedHealthcare	$13 - $289	97%
Cfmg-Ca Forensic Med Grp Op/Profee Only-All Plans	$17	127%
Ah Employee Health Plan - All Plans	$24	179%
Hpn-Heritage Prov Ntwrk-All Plans	$44	329%
Blue Shield Hmo/Pos	$53	396%
Blue Shield Epo/Ppo - All Other Plans	$63	471%
Chn-Community Hlth Ntwrk-All Plans	$71	530%
Medi-Cal	$129	963%
Cencal Mcal	$147	1098%
Blue Shield Promise Mcal	$155	1158%
Ccah-Centrl Ca Allince Mcal-All Plans	$168	1255%
Coalinga-All Plans	$168	1255%
Blue Shield Epn	$309	2308%
Nbd-Ntwrks By Design Exlus-All Other Plans	$496	3704%
Nbd-Ntwrks By Design Non-Exlus	$496	3704%
Pacific Health Alliance-All Plans	$772	5765%

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 $60.
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 Twin Cities 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.