CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Monterey Park Hospital
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $15
- Cash Discount Price: $631
- vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Monterey Park Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $631. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.12x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$631
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: $631 (4712%)
Insurance Median: $15 (112%)
Cash: $631 (4712% 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
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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 |
|---|---|---|
| Altamed Health Services Corporation | $2 - $124 | 15% |
| Care 1St M Cal | $2 - $124 | 15% |
| Crown City Medical Group Inc | $2 - $124 | 15% |
| Family Health Alliance Medical Group | $2 - $372 | 15% |
| Garfield Medical Center | $2 - $124 | 15% |
| Physician Healthways | $2 - $310 | 15% |
| Universal Care M Cal/Advantage Health Network | $2 - $124 | 15% |
| Employee Health Systems Medical Group | $4 - $248 | 30% |
| Global Care Medical Group Ipa | $4 - $558 | 30% |
| Healthnet/Ehs Capitation | $4 - $248 | 30% |
| Alta Med Health Services Corp | $6 - $310 | 45% |
| Hispanic Physicians Ipa Medical Corporation | $6 - $310 | 45% |
| Ahmc Healthcare Inc | $7 - $372 | 52% |
| Ahmc Reciprocity Agreement Senior/Commercial | $7 - $372 | 52% |
| Allied Physicians Ipa | $7 - $372 | 52% |
| Bella Vista Medical Group | $7 - $372 | 52% |
| Community Health Plan M Cal Joy Ipa | $7 - $372 | 52% |
| Esperanza Medical Group Ipa | $7 - $372 | 52% |
| Pacific Independent Physician Association | $7 - $372 | 52% |
| Tenet Reciprocity | $7 - $372 | 52% |
| Blue Shield Of California | $8 - $620 | 60% |
| Healthcare Partners Affiliates Medical Group | $8 - $443 | 60% |
| Central Health Plan Of California | $9 - $496 | 67% |
| Molina Medical Centers | $9 - $484 | 67% |
| Veterans Administration | $9 | 67% |
| Applecare Medical Group | $11 - $12 | 82% |
| Blue Cross Blue Shield | $11 - $620 | 82% |
| La Care Health Plan | $11 - $682 | 82% |
| Access Ipa Ancillary | $12 | 90% |
| Accountable Ipa | $12 | 90% |
| Alhambra Community Dialysis Unit Inc | $12 - $744 | 90% |
| Allied Physicians | $12 - $20 | 90% |
| Altamed Health Network | $12 - $13 | 90% |
| Altamed Health Services | $12 | 90% |
| Assess Ipa | $12 | 90% |
| Associated Hispanic Physicians Ancillary | $12 | 90% |
| Bella Vista Medical Group Ancillary | $12 | 90% |
| Beverly Hospital | $12 - $15 | 90% |
| Brand New Day | $12 - $17 | 90% |
| Care 1St Mcl/Gar Cap | $12 | 90% |
| Central Health Plan | $12 | 90% |
| Community Health Plan | $12 | 90% |
| Health Net Medi Cal | $12 | 90% |
| Healthnet Inc | $12 | 90% |
| Healthy Way La | $12 | 90% |
| La Care | $12 - $13 | 90% |
| Medical Managed Care Program | $12 | 90% |
| Molina Healthcare | $12 | 90% |
| Other Non-Contracted Medi-Cal | $12 | 90% |
| Preferred Ipa | $12 - $17 | 90% |
| Preferred Ipa Of California | $12 | 90% |
| Senior Citizens Choice | $12 | 90% |
| Aetna | $13 - $903 | 97% |
| Aids Health Foundation | $13 | 97% |
| Alignment Health Plan | $13 | 97% |
| Apa/Aco Inc | $13 | 97% |
| Avanti | $13 - $16 | 97% |
| Cms | $13 | 97% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $13 | 97% |
| Easy Choice Health Plan | $13 | 97% |
| Emanate Health | $13 - $17 | 97% |
| First Health Senior | $13 | 97% |
| Foundation Health Plan | $13 | 97% |
| Health Net | $13 - $806 | 97% |
| Health Net Inc | $13 - $878 | 97% |
| Health Net Of California | $13 - $742 | 97% |
| Hollywood Presbyterian Adv Med Mcal | $13 | 97% |
| Hollywood Presbyterian Medpoint Mcal | $13 | 97% |
| Humana | $13 | 97% |
| La Care Covered Direct | $13 | 97% |
| Maxi Med Inc/Ipa | $13 | 97% |
| Medi Cal | $13 | 97% |
| Medicare (plans) | $13 - $14 | 97% |
| Scan Health Plan | $13 | 97% |
| Secure Horizons | $13 | 97% |
| Self-Pay | $13 | 97% |
| Ucla/Impact Cancer | $13 | 97% |
| UnitedHealthcare | $13 - $868 | 97% |
| Care 1St Health Plan | $14 - $744 | 105% |
| Greater Los Angeles Dialysis Inc | $14 - $744 | 105% |
| Molina Healthcare Medi-Connect | $14 | 105% |
| One Health Plan | $14 - $775 | 105% |
| Choice Care Network | $15 - $806 | 112% |
| Cigna | $15 | 112% |
| Healthnet | $15 - $806 | 112% |
| Preferred Health Network | $15 - $992 | 112% |
| San Miguel Health Plan | $15 | 112% |
| Asi Flex Ppo W/C | $16 | 119% |
| Athens Administrators | $16 | 119% |
| Indemnity W Comp Fee Schedule | $16 | 119% |
| Interplan | $16 - $930 | 119% |
| Multiplan | $16 - $1,054 | 119% |
| Universal Care | $16 - $868 | 119% |
| Ahmc Health Epo | $17 | 127% |
| Knox-Keene Act | $17 | 127% |
| Molina Healthcare Of California | $17 | 127% |
| Corvel Corporation | $18 - $992 | 134% |
| Bce Emergis Corp | $19 - $1,054 | 142% |
| Caloptima Direct | $20 | 149% |
| Commercial Non Contract | $22 - $1,240 | 164% |
| Mri/Ct Greater El Monte Hospital | $22 - $1,240 | 164% |
| Mri/Mra/Alhambra Hospital | $22 - $1,240 | 164% |
| Mri/Mra/Eladh | $22 - $1,240 | 164% |
| One Legacy | $22 - $1,240 | 164% |
| Pacificare | $27 - $54 | 202% |