CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Coastal Communities Hospital
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $13
- Cash Discount Price: $41
- vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Coastal Communities Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 0.97x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$41
Average discount available for prompt cash payment at this facility.
Insurance Median
$13
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: $41 (306%)
Insurance Median: $13 (97%)
Cash: $41 (306% of Medicare)
Ins. Median: $13 (97% 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 |
|---|---|---|
| Ihhi Reciprocity | $2 - $22 | 15% |
| First Health | $4 - $39 | 30% |
| Cigna | $5 - $48 | 37% |
| Health Net | $5 - $54 | 37% |
| Heritage Provider Network | $5 - $44 | 37% |
| Kaiser | $5 - $46 | 37% |
| Magellan | $5 - $44 | 37% |
| Healthsmart | $6 - $56 | 45% |
| Interplan | $6 - $56 | 45% |
| Multiplan | $6 - $52 | 45% |
| Networks By Design | $6 - $52 | 45% |
| Networks By Design Wc | $6 - $52 | 45% |
| Pnoa-Provider Network Of America | $6 - $59 | 45% |
| Prime Health | $6 - $56 | 45% |
| Prime Health Srvs | $6 - $59 | 45% |
| Prime Health Srvs/Network | $7 - $63 | 52% |
| Prime Health Srvs/Wc | $7 - $14 | 52% |
| Aetna | $8 - $44 | 60% |
| Altamed Health Services | $8 - $19 | 60% |
| Altamed Mcal Hmo (Ancillary) | $8 - $13 | 60% |
| Blue Shield | $8 - $51 | 60% |
| Caloptima | $8 - $19 | 60% |
| Central Health Plan Of California | $8 - $13 | 60% |
| Champion Health Plan | $8 - $13 | 60% |
| Champus | $8 - $14 | 60% |
| Choc Health Alliance | $8 - $19 | 60% |
| Choice Physicians Network | $8 - $13 | 60% |
| Citizens Choice Health Plan | $8 - $13 | 60% |
| Clever Care Health Plan | $8 - $13 | 60% |
| County Of Orange | $8 - $19 | 60% |
| Coventry Auto Network | $8 - $14 | 60% |
| Coventry Wc | $8 - $15 | 60% |
| Easy Choice Health Plan | $8 - $13 | 60% |
| Family Choice | $8 - $19 | 60% |
| For Your Benefit | $8 - $13 | 60% |
| Healthcare Partners | $8 - $13 | 60% |
| Healthcare Partners Sr Hmo | $8 - $13 | 60% |
| Heritage | $8 - $13 | 60% |
| Hollywood Presbyterian | $8 - $13 | 60% |
| Humana | $8 - $13 | 60% |
| Imperial Health Plan Of Ca | $8 - $13 | 60% |
| Innovative Integrated Health | $8 - $13 | 60% |
| Kpc Healthcare Inc | $8 - $19 | 60% |
| Lucet Behavioral Health Sr | $8 - $74 | 60% |
| Managed Health Network | $8 - $74 | 60% |
| Medcare Partners | $8 - $13 | 60% |
| Medi-Cal Hmo/Non Contract | $8 - $13 | 60% |
| Medicaid / KanCare | $8 - $13 | 60% |
| Monarch | $8 - $14 | 60% |
| Onecare | $8 - $13 | 60% |
| Onecare Connect | $8 - $13 | 60% |
| Other Insurance Loa | $8 - $74 | 60% |
| Other Non Contracted Plans | $8 - $74 | 60% |
| Other Senior Non Contract | $8 - $13 | 60% |
| Private Pay | $8 - $74 | 60% |
| Prospect Health Plan | $8 - $20 | 60% |
| Scan Health Plan | $8 - $13 | 60% |
| Self Pay Ab774/Cbo Use Only | $8 - $13 | 60% |
| Three Rivers | $8 - $16 | 60% |
| UnitedHealthcare | $8 - $13 | 60% |
| Us Behavioral Health Plan | $8 - $74 | 60% |
| Us Dept Of Labor | $8 - $13 | 60% |
| Us Federal Marshall/Department Of Immigration | $8 - $13 | 60% |
| Velocity National Provider Network Wc | $8 - $16 | 60% |
| Velocity Provider Network Sr | $8 - $13 | 60% |
| Verda Health Plan Sr | $8 - $13 | 60% |
| Veterans Administration | $8 - $13 | 60% |
| Victim Of Violent Crime | $8 - $13 | 60% |
| Victoria Hospice | $8 - $13 | 60% |
| Vitas Hospice | $8 - $74 | 60% |
| Workers Comp State Of California | $8 - $16 | 60% |
| Brand New Day | $9 - $15 | 67% |
| County Of Orange/Custody/Advanced Medmgt | $10 - $17 | 75% |
| Veterans Evaluation Services | $10 - $17 | 75% |
| Staywell/Island Home Ins | $11 - $19 | 82% |
| Three Rivers Network | $14 - $23 | 105% |
| Velocity National Provider Network Ppo | $14 - $23 | 105% |
| Monarch Health Plan | $15 | 112% |