CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Garfield Medical Center
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $23
- Cash Discount Price: $46
- vs. Medicare Baseline: 1.72x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Garfield Medical Center is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.72x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$46
Average discount available for prompt cash payment at this facility.
Insurance Median
$23
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: $46 (344%)
Insurance Median: $23 (172%)
Cash: $46 (344% of Medicare)
Ins. Median: $23 (172% 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 |
|---|---|---|
| Pacific Independent Physician Association | $2 - $78 | 15% |
| Access Ipa Ancillary | $3 - $146 | 22% |
| Associated Hispanic Phys Of So Cal | $3 - $97 | 22% |
| Care First Health Plan | $3 - $48 | 22% |
| UnitedHealthcare | $3 - $291 | 22% |
| Employee Health Systems Mg | $5 - $97 | 37% |
| Ahmc Healthcare Inc | $8 - $146 | 60% |
| Family Health Alliance | $8 - $146 | 60% |
| Allied Physicians Risk Pool | $9 - $170 | 67% |
| Allied Physicians Risk Pool Agreement | $9 - $170 | 67% |
| Healthnet Medi Cal Cap | $9 - $170 | 67% |
| Pipa Risk Pool Agreement | $9 - $170 | 67% |
| Veterans Administration | $9 | 67% |
| Central Health Plan | $11 - $194 | 82% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $11 - $194 | 82% |
| Health Net Foundation M Cal (Family Health Alliance) | $11 - $194 | 82% |
| Molina Medical Group | $11 - $189 | 82% |
| Phys Assoc Of San Gab Valley | $11 - $194 | 82% |
| Allied Physicians | $12 - $20 | 90% |
| Beverly Hospital | $12 - $15 | 90% |
| Blue Cross Blue Shield | $12 - $242 | 90% |
| Brand New Day | $12 - $17 | 90% |
| Care 1St Mcl/Gar Cap Reciprocity | $12 | 90% |
| Community Health Plan | $12 | 90% |
| Emanate Health | $12 - $17 | 90% |
| Health Net | $12 - $407 | 90% |
| Healthy Way La | $12 | 90% |
| La Care Health Plan | $12 - $267 | 90% |
| Other Non-Contracting Medi-Cal | $12 | 90% |
| Physicians Healthways Medi-Cal | $12 - $485 | 90% |
| Advantage Care Ipa | $13 - $485 | 97% |
| Aetna | $13 - $353 | 97% |
| Aids Health Foundation | $13 | 97% |
| Apa Aco Inc | $13 | 97% |
| Avanti | $13 - $16 | 97% |
| Blue Shield | $13 - $188 | 97% |
| Blue Shield Of California | $13 - $242 | 97% |
| Cms | $13 | 97% |
| Cv-19 Hrsa Uninsured Testing And Tx | $13 | 97% |
| Easy Choice Health Plan | $13 | 97% |
| First Health Network | $13 - $340 | 97% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $13 | 97% |
| Hollywood Presbyterian Medpoint Mcal | $13 | 97% |
| Humana | $13 | 97% |
| La Care Covered Direct | $13 | 97% |
| Non-Contract Medi-Care | $13 | 97% |
| Pacific Alliance Medical Center Comm/Sr | $13 | 97% |
| Physicians Healthways Medical Corporation | $13 - $485 | 97% |
| Scan Health Plan Sr Hmo | $13 | 97% |
| Self-Pay | $13 | 97% |
| State Of California Medi-Cal | $13 | 97% |
| Ucla Impact Dept Of Uncology | $13 | 97% |
| Alignment Health Plan | $14 | 105% |
| Allied Physicians Med Grp | $14 - $242 | 105% |
| Inter Valley Health Plan | $14 | 105% |
| Molina Healthcare | $14 | 105% |
| Molina Healthcare Of California | $14 - $17 | 105% |
| Cigna | $15 | 112% |
| Health Net Comm/Hmo | $15 - $267 | 112% |
| National Disaster Medical System | $15 | 112% |
| Physician Healthways Medical Corporation | $15 | 112% |
| Preferred Health Network | $15 | 112% |
| San Miguel Health Plan | $15 | 112% |
| Alhambra Hospital | $16 - $291 | 119% |
| Athens Administrators | $16 | 119% |
| Care 1St Health Plan | $16 - $291 | 119% |
| Chinatown Service Center Pace | $16 | 119% |
| Interplan | $16 - $364 | 119% |
| Multiplan | $16 - $412 | 119% |
| Other Non-Contracted Workers Compensation | $16 | 119% |
| Ahmc Health Epo | $17 | 127% |
| Knox-Keene Act | $17 | 127% |
| One Health Plan | $19 - $340 | 142% |
| Caloptima Direct | $20 | 149% |
| Fmc Los Angeles Co Epo | $20 - $364 | 149% |
| Corvel Corporation | $22 - $388 | 164% |
| Health Net Inc | $22 | 164% |
| Americas Health Plan | $23 - $412 | 172% |
| Health Payors Organization | $24 - $436 | 179% |
| East La Reg Ctr | $27 - $485 | 202% |
| Non Contract Commercial | $27 - $485 | 202% |
| One Legacy | $27 - $485 | 202% |
| Pacificare Of California Inc | $27 | 202% |
| Pacificare Ppo | $27 | 202% |
| Private Pay | $27 - $485 | 202% |