CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: North Okaloosa Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $21
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at North Okaloosa Medical Center is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.57x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $50 (373%)
Insurance Median: $21 (157%)
Cash: $50 (373% of Medicare)
Ins. Median: $21 (157% 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
Amerigroup $5 37%
Humana $5 - $14 37%
Integral Health $5 37%
Magellan Health $5 37%
Medicaid / KanCare $5 37%
Prestige Health $5 37%
Simply Healthcare $5 - $14 37%
UnitedHealthcare $5 - $100 37%
Wellcare $5 - $14 37%
Self Pay $6 - $137 45%
Corizon Health Inc $12 - $171 90%
Tricare $12 90%
Aetna $13 - $380 97%
Blue Cross Blue Shield $13 - $461 97%
Cigna $13 - $396 97%
Medicare (plans) $13 97%
Node Champva $13 97%
Node Non Par Hospice Agree $13 97%
Node Va $13 97%
Veterans Eval Services $13 97%
Florida Department Of Corrections $14 105%
Node Us Dept Of Labor $17 127%
Evolutions $18 - $446 134%
Prime Health Work Comp Fl $18 134%
Usa Managed Care Work Comp Fl $18 134%
Amcomp Workers Comp $19 142%
Oscar $19 142%
State Auto Insurance Fl $27 202%
Phcs $32 - $456 239%
Occunet $33 246%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals