CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Baptist Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $14
Cash Discount Price: $3
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Baptist Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.

Cash / Self-Pay

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: $3 (22%)

Insurance Median: $14 (105%)

Cash: $3 (22% 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

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
Aetna	$2 - $134	15%
Pensacola	$3 - $28	22%
Fl Blue	$4 - $426	30%
Cha Health Plan	$5	37%
Fl Community Care Ltc	$5	37%
Hospice Regency	$5 - $55	37%
Humana	$5 - $14	37%
Mh Sunshine Mcaid	$5	37%
Staywell	$5	37%
Sunshine Health	$5	37%
UnitedHealthcare	$5 - $13	37%
Bc Fl	$6 - $305	45%
Simply Healthcare Healthy Kids	$6	45%
Cigna	$8 - $184	60%
Hospice Emerald Coast	$8 - $92	60%
Escambia	$10 - $110	75%
Private Healthcare	$11 - $120	82%
Uwf Athletes	$11 - $120	82%
First Health	$12 - $128	90%
Choicecare	$13 - $138	97%
Hospice Covenant	$13	97%
Medicare (plans)	$13	97%
Mh Choicecare	$13 - $138	97%
Healthspring Of Fl Al	$14	105%
Mh Wellcare	$14	105%
Wc Corvel	$14 - $175	105%
Wellcare	$14	105%
Multiplan	$15 - $164	112%

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 $3.
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 Baptist 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.