CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Shands Jacksonville

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $13
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Shands Jacksonville is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 0.97x the Medicare baseline. Located in 655 W 8Th St, Jacksonville, FL.
Cash / Self-Pay
$77

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: $77 (575%)
Insurance Median: $13 (97%)
Cash: $77 (575% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $4 - $224 30%
Blue Cross Blue Shield $4 - $163 30%
Capital Health Plan $4 - $136 30%
Humana $4 - $231 30%
North Florida Evaluation & Treatment Center $4 - $128 30%
Northeast Florida State Hospital $4 - $120 30%
UnitedHealthcare $4 - $114 30%
Volusia Health Network $4 - $114 30%
Amerihealth Caritas Florida $5 37%
Avmed $5 - $153 37%
Carelon Health $5 37%
Centivo $5 - $150 37%
Community Care Plan $5 37%
Disney Cruise Line $5 - $163 37%
Florida Community Care $5 37%
Molina $5 - $17 37%
Cigna $6 - $169 45%
Florida Health Alliance $6 - $196 45%
Health First Health Plan $6 - $190 45%
Mental Health Associates $6 - $177 45%
Prime Health Services $6 - $204 45%
Simply Healthcare $6 45%
Archbold Medical Center $7 - $204 52%
Genex $7 - $204 52%
Rockport Provider $7 - $204 52%
Corvel Corp $8 - $231 60%
First Health $8 - $231 60%
Florida Hospital Healthcare System $8 - $231 60%
Fringe Benefits Coordinators $8 - $259 60%
Medsave Usa Tpa $8 - $231 60%
Multiplan $8 - $245 60%
Novanet $8 - $245 60%
Ameri-Plus Preferred Care $13 97%
Beacon Health Strategies $14 105%
Careplus Health Plan $14 105%
Devoted Health Plan $14 - $15 105%
Florida Health Care Plan $14 - $24 105%
Positive Healthcare Partners $15 112%
Wellcare Of Florida $16 119%
Florida Complete Care $17 127%
Ambetter / Centene $22 164%
Wellpath $22 164%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 655 W 8Th St, Jacksonville, FL 32209
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals