CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Whittier Hospital Medical Center
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $16
- Cash Discount Price: $74
- vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Whittier Hospital Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.19x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$74
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: $74 (553%)
Insurance Median: $16 (119%)
Cash: $74 (553% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Veterans Administration | $9 | 67% |
| Ahmc Medi-Cal Reciprocity Agreement | $12 | 90% |
| Aids Healthcare Foundation | $12 - $13 | 90% |
| Allied Physicians | $12 - $20 | 90% |
| Alta Med Health Network | $12 - $13 | 90% |
| Altamed Health Services Corporation | $12 | 90% |
| Beverly Hospital | $12 - $15 | 90% |
| Brand New Day | $12 - $16 | 90% |
| Emanate Health | $12 - $16 | 90% |
| Health Net | $12 - $330 | 90% |
| Healthy Way La | $12 | 90% |
| Heritage Provider Network | $12 - $18 | 90% |
| Kaiser Foundation | $12 - $386 | 90% |
| La Care Healthy Families/Healthy Kids | $12 | 90% |
| Non Contracted Medi-Cal | $12 | 90% |
| Prospect Health Plan | $12 - $21 | 90% |
| Synermed | $12 - $13 | 90% |
| Aetna | $13 - $401 | 97% |
| Alignment Health Plan | $13 | 97% |
| Alta Los Angeles Hospitals Inc | $13 | 97% |
| Apa/Aco Inc | $13 | 97% |
| Avanti | $13 - $16 | 97% |
| Blue Cross Blue Shield | $13 - $276 | 97% |
| Blue Shield Of California | $13 - $276 | 97% |
| Caloptima | $13 - $16 | 97% |
| Care First Health Plan | $13 | 97% |
| Caremore | $13 | 97% |
| Central Health Plan | $13 | 97% |
| County Of Los Angeles Dept Of Health Services | $13 | 97% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $13 | 97% |
| Easy Choice Health Plan | $13 | 97% |
| Hollywood Presbyterian Adv Med Mcal | $13 | 97% |
| Hollywood Presbyterian Medpoint Mcal | $13 | 97% |
| Humana | $13 | 97% |
| La Care Covered Direct | $13 | 97% |
| La Care Health Plan | $13 - $303 | 97% |
| Medi Caid/ Medi Cal | $13 | 97% |
| Medicare (plans) | $13 - $14 | 97% |
| Pacific Alliance Medical Center | $13 | 97% |
| Pacific Independent Physician Association | $13 - $165 | 97% |
| Pacificare Of California | $13 | 97% |
| Private Pay | $13 | 97% |
| Scan Health Plan | $13 | 97% |
| Self-Pay | $13 | 97% |
| Molina Healthcare Of California | $14 | 105% |
| Cigna | $15 | 112% |
| Fmc Los Angeles County | $15 - $413 | 112% |
| San Miguel Health Plan | $15 | 112% |
| Tricare | $15 | 112% |
| Applecare Medical Group | $16 | 119% |
| Athens Administrators Ahmc Work Comp | $16 | 119% |
| Chinatown Service Center Pace | $16 | 119% |
| Interplan Health Group | $16 | 119% |
| Misc 1 | $16 | 119% |
| Monarch Healthplan | $16 | 119% |
| Multiplan Wc | $16 | 119% |
| Ahmc Health | $17 | 127% |
| Knox-Keene Act | $17 | 127% |
| Molina Medical Center | $17 - $215 | 127% |
| Capnet | $22 | 164% |
| UnitedHealthcare | $27 - $479 | 202% |
| Health Net Inc | $33 - $358 | 246% |
| Healthnet | $40 - $382 | 299% |
| Physician Healthways | $55 | 411% |
| Physicians Healthways Medical Corporation | $138 | 1031% |
| Ahmc Reciprocity | $165 | 1232% |
| Ahmc Reciprocity Agreement Senior/Commercial | $165 | 1232% |
| Wear And Wood | $165 - $220 | 1232% |
| Edward Medical Group | $193 | 1441% |
| Central Health Plan Of California | $220 | 1643% |
| Allied Physicians Ipa | $248 | 1852% |
| Prospect Medical | $303 | 2263% |
| Care 1St Health Plan | $331 | 2472% |
| New Horizon Medical Group Inc | $331 | 2472% |
| Cost Containment | $358 | 2674% |
| Davita Healthcare Partners | $358 | 2674% |
| Universal Care | $358 - $386 | 2674% |
| Asi/Flex | $386 | 2883% |
| Us Comp Care | $386 | 2883% |
| Value Healthplan Of California | $386 | 2883% |
| Community Care Network | $413 | 3084% |
| Coventry Health Care | $413 | 3084% |
| Coventry Health Care National Network | $413 | 3084% |
| Interplan Corporation | $413 | 3084% |
| Managed Care Administrators | $413 | 3084% |
| Prohealth | $413 | 3084% |
| Multiplan | $468 | 3495% |
| Commercial Non Contract | $551 | 4115% |
| Medi-Cal Sub Acute | $551 | 4115% |
| One Legacy | $551 | 4115% |
| Great-West Healthcare Of California | $2,500 | 18671% |