CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: UF Health Shands Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $16
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at UF Health Shands Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.19x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $44 (329%)
Insurance Median: $16 (119%)
Cash: $44 (329% of Medicare)
Ins. Median: $16 (119% 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 $5 - $96 37%
Amerihealth Caritas Florida $5 37%
Beacon Health Strategies $5 37%
Community Care Plan $5 37%
Florida Community Care $5 37%
Humana $5 - $14 37%
Molina $5 37%
Sunshine State Health Plan $5 37%
UnitedHealthcare $5 - $14 37%
Simply Healthcare $6 45%
Blue Cross Blue Shield $12 - $63 90%
Avmed $13 97%
Capital Health Plan $13 - $58 97%
North Central Hospice $13 97%
Vha $13 97%
Wellcare $13 97%
Carelon Health $14 105%
Careplus $14 105%
Ahf Mco Of Fl $15 112%
Devoted Health Plan $15 112%
Freedom Health- Inc./Optimum Healthcare- Inc. $15 112%
Positive Healthcare Partners $15 112%
Uaa $16 - $44 119%
Ambetter / Centene $17 - $46 127%
Ghilcrest County $17 127%
Levy County $17 127%
Northeast Fl Hospital $19 - $51 142%
Wellpath $21 157%
Florida Health Care Plan $22 - $58 164%
Health First $30 - $81 224%
Prime Health Services $30 - $81 224%
Archbold Medical Center $32 - $87 239%
Cigna $32 - $86 239%
Genex $32 - $87 239%
Corvel Corp $37 - $99 276%
Geha $39 - $104 291%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals