CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Menifee Global Medical Center
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $16
- Cash Discount Price: $422
- vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Menifee Global Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $422. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.19x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$422
Average discount available for prompt cash payment at this facility.
Insurance Median
$16
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: $422 (3152%)
Insurance Median: $16 (119%)
Cash: $422 (3152% of Medicare)
Ins. Median: $16 (119% 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 |
|---|---|---|
| Blue Cross Blue Shield | $12 | 90% |
| Ic | $12 - $422 | 90% |
| Kaiser Medi-Cal | $12 | 90% |
| Tricare | $12 - $13 | 90% |
| Aetna | $13 - $267 | 97% |
| Altamed Comm Hmo (Ancillary) | $13 - $422 | 97% |
| Altamed Health Services Senior | $13 | 97% |
| Altamed Sr/Pace | $13 | 97% |
| Blue Shield Senior | $13 | 97% |
| Central Health Plan Senior | $13 | 97% |
| Clever Care Health Plan Sr | $13 | 97% |
| For Your Benefit Senior | $13 | 97% |
| Guidant Health Plan Senior | $13 | 97% |
| Health Net Medi-Cal | $13 | 97% |
| Health Net Senior | $13 | 97% |
| Hpn Mcal | $13 | 97% |
| Hpn Senior | $13 | 97% |
| Humana | $13 | 97% |
| Imperial Health Plan Of Ca | $13 | 97% |
| Kaiser Senior | $13 | 97% |
| Lasalle Medical Assoc (Ancillary) Commercial | $13 | 97% |
| Lasalle Medical Assoc (Ancillary) Senior | $13 | 97% |
| Managed Health Network Sr | $13 | 97% |
| Medicare (plans) | $13 | 97% |
| Neighborhood Healthcare Pace | $13 | 97% |
| Point Comfort Underwriters | $13 | 97% |
| Primecare Senior | $13 | 97% |
| Prospect Health Plan Sr Hmo | $13 | 97% |
| Scan Senior | $13 | 97% |
| Self Pay/Ab774/Charity Discount | $13 | 97% |
| Sr Capitation | $13 | 97% |
| UnitedHealthcare | $13 - $16 | 97% |
| Veterans Administration | $13 | 97% |
| Coventry | $14 - $15 | 105% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $14 | 105% |
| Molina Medi-Cal | $14 | 105% |
| Prime Health Services Wcomp | $14 | 105% |
| Prospect Health Plan Mcal Hmo | $14 | 105% |
| Align Senior Care | $15 | 112% |
| Prime Health Services Senior | $15 | 112% |
| Welbehealth Sr/Pace | $15 | 112% |
| Three Rivers Wcomp | $16 | 119% |
| Workers Comp Non-Contracted | $16 | 119% |
| Iehp Covered Ca | $17 | 127% |
| Iehp Medi-Cal | $17 | 127% |
| Molina Covered Ca | $17 | 127% |
| Prospect Health Plan Comm Hmo | $18 | 134% |
| Altamed Mcal Hmo | $19 | 142% |
| Altamed Mcal/Pace | $19 | 142% |
| Choice Physicians Network | $19 | 142% |
| Health Net Enhanced Ppo | $19 | 142% |
| Hpn Commercial/Covered Ca | $19 | 142% |
| Health Net Comm | $20 | 149% |
| Three Rivers Network | $23 | 172% |
| Velocity | $23 - $190 | 172% |
| Cigna | $27 - $338 | 202% |
| Blue Shield Epn | $38 | 284% |
| Blue Shield Commercial | $44 | 329% |
| First Health Commercial | $222 | 1658% |
| Primecare Commercial | $274 | 2046% |
| Multiplan Ppo | $295 | 2203% |
| Multiplan Wcomp | $295 | 2203% |
| Pnoa-Provider Network Of America | $338 | 2524% |
| Prime Health Services Commercial | $338 | 2524% |
| Ava Hospice | $422 | 3152% |
| Kaiser Commercial | $422 | 3152% |
| Living Waters Hospice | $422 | 3152% |
| Managed Health Network | $422 | 3152% |
| Other Insurance Loa | $422 | 3152% |
| Pacific Valley Hospice | $422 | 3152% |
| Private Pay | $422 | 3152% |
| Silverado Hospice | $422 | 3152% |
| Vna Hospice | $422 | 3152% |