CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Greater El Monte Community Hospital
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $14
- Cash Discount Price: $23
- vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Greater El Monte Community Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$23
Average discount available for prompt cash payment at this facility.
Insurance Median
$14
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: $23 (172%)
Insurance Median: $14 (105%)
Cash: $23 (172% of Medicare)
Ins. Median: $14 (105% 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 |
|---|---|---|
| Care 1St Medi Cal Hmo Cap Exceptional Care | $1 - $51 | 7% |
| Care First Health Plan | $1 - $51 | 7% |
| Clinica Medica Familiar | $2 - $254 | 15% |
| Alta Med Health Services Med Grp | $3 - $127 | 22% |
| Bella Vista Medical Group Ipa | $3 - $229 | 22% |
| Employee Health Systems Medical Group | $3 - $102 | 22% |
| Global Care Medical Group Ipa | $3 - $229 | 22% |
| Ahmc Reciprocity Agreement | $4 - $152 | 30% |
| Ahmc Reciprocity Agreement Senior/Commercial | $4 - $152 | 30% |
| Allied Physicians Medical Group | $4 - $152 | 30% |
| Good Samaritan Medical Practice Assoc | $4 - $305 | 30% |
| Lincoln Hospital Medical Center | $4 - $152 | 30% |
| Blue Cross Blue Shield | $5 - $254 | 37% |
| Molina Healthcare Of California | $5 - $198 | 37% |
| Blue Shield Of California | $7 - $254 | 52% |
| California Thoroughbred Horesmans Foundation | $7 - $254 | 52% |
| La Care Health Plan | $7 - $279 | 52% |
| Universal Care | $7 - $356 | 52% |
| Care 1St Health Plan | $8 - $305 | 60% |
| Health Net Foundation | $8 - $330 | 60% |
| Cost Containment Strategies | $9 - $330 | 67% |
| In Custody Police Dept | $9 - $330 | 67% |
| Interplan | $9 - $381 | 67% |
| Veterans Administration | $9 | 67% |
| Central Health Plan | $10 - $356 | 75% |
| Health Net Inc | $10 - $360 | 75% |
| UnitedHealthcare | $10 - $436 | 75% |
| Community Care Network | $11 - $406 | 82% |
| Ahmc Healthcare Inc | $12 | 90% |
| Aids Health Foundation | $12 - $13 | 90% |
| Altamed Health Network | $12 - $13 | 90% |
| Avanti | $12 - $16 | 90% |
| Beverly Hospital | $12 - $15 | 90% |
| Brand New Day | $12 - $17 | 90% |
| Emanate Health | $12 - $17 | 90% |
| Health Payors Organization | $12 - $457 | 90% |
| Healthy Way La | $12 | 90% |
| Multiplan | $12 - $432 | 90% |
| Other Non Contracted Medi-Cal Hmo | $12 | 90% |
| Pacificare Of California | $12 - $440 | 90% |
| State Of California | $12 | 90% |
| Alignment Health Plan | $13 | 97% |
| Allied Physicians | $13 - $20 | 97% |
| Apa/Aco Inc | $13 | 97% |
| Associated Hispanic Physicians | $13 - $14 | 97% |
| Cms | $13 | 97% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $13 | 97% |
| Easy Choice Health Plan | $13 | 97% |
| Hollywood Presbyterian Adv Med Mcal | $13 - $14 | 97% |
| Hollywood Presbyterian Medpoint Mcal | $13 - $14 | 97% |
| La Care Covered Direct | $13 | 97% |
| Other Non Contracted Senior Hmo | $13 | 97% |
| Pacific Alliance Medical Center Reciprocal Contract | $13 | 97% |
| Scan Health Plan | $13 | 97% |
| Self-Pay | $13 | 97% |
| Ahmc Health Self-Insurance Epo | $14 - $17 | 105% |
| Athens Administrators | $14 - $16 | 105% |
| Caloptima | $14 - $17 | 105% |
| Champus Foundation | $14 - $15 | 105% |
| Commercial Non Contract | $14 - $508 | 105% |
| Inter Valley Health Plan | $14 | 105% |
| Intercomp | $14 | 105% |
| Knox-Keene Act | $14 - $17 | 105% |
| Medi-Cal Sub Acute | $14 - $508 | 105% |
| Molina Healthcare | $14 | 105% |
| Nuclear Medicine/Whmc | $14 - $508 | 105% |
| One Legacy | $14 - $508 | 105% |
| Other Non Contracted Work Comp | $14 - $16 | 105% |
| Preferred Health Network | $14 - $15 | 105% |
| San Miguel Health Plan | $14 - $15 | 105% |
| Cigna | $15 | 112% |
| Chinatown Service Center Pace | $16 | 119% |
| In Custody-Ca Highway Patrol | $20 | 149% |