CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Sarasota Memorial Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $18
Cash Discount Price: $43
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Sarasota Memorial Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.34x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$43

Average discount available for prompt cash payment at this facility.

Insurance Median

$18

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: $43 (321%)

Insurance Median: $18 (134%)

Cash: $43 (321% of Medicare)

Ins. Median: $18 (134% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerihealth Caritas Oncology	$2 - $7	15%
Community Care Plan Oncology	$2 - $7	15%
Florida Community Care Oncology	$2 - $16	15%
Molina Oncology	$2 - $7	15%
Simply Healthcare Oncology	$2 - $7	15%
Sunshine State Oncology	$2 - $7	15%
Amerihealth Caritas	$5	37%
Community Care Plan	$5	37%
Florida Community Care	$5 - $15	37%
Molina	$5	37%
Simply Healthcare	$5	37%
Sunshine State	$5	37%
UnitedHealthcare	$8 - $107	60%
Blue Cross Blue Shield	$13 - $23	97%
Aetna	$14 - $237	105%
Simply Freedom Optimum	$14	105%
Simply Freedom Optimum Oncology	$14	105%
Wellcare	$14	105%
Wellcare Oncology	$14	105%
Oscar Oncology	$22	164%
Avmed	$24 - $104	179%
Usa Managed Care	$27 - $114	202%
First Health	$28 - $118	209%
Ambetter / Centene	$36	269%
Careworks	$134 - $237	1001%
Enlyte	$134 - $237	1001%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $43.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80061.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sarasota Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80061.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.