CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Lower Keys Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $11
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Lower Keys Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 0.82x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$56

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $56 (418%)
Insurance Median: $11 (82%)
Cash: $56 (418% of Medicare)
Ins. Median: $11 (82% 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
Self Pay $3 - $141 22%
Simply Healthcare $3 - $125 22%
Blue Cross Blue Shield $4 - $402 30%
UnitedHealthcare $5 - $309 37%
Cigna $6 - $237 45%
Aetna $7 - $281 52%
Florida Childrens Medical Services $7 52%
Humana $7 - $13 52%
Medicaid / KanCare $7 - $8 52%
South Florida Community Care Network $7 52%
Amerigroup $8 60%
Evolutions Healthcare Systems $8 - $382 60%
Keys Energy $8 - $322 60%
Magellan $8 60%
Molina $8 60%
Monroe County $8 - $302 60%
Positive Healthcare $8 60%
Prestige Health Choice $8 60%
Prime Health Ppo $8 - $322 60%
Tricare $8 - $13 60%
Wellcare $8 60%
Wellcare Healthease $8 60%
Avmed Health Plan $9 - $342 67%
Direct Healthcare $10 - $402 75%
Medicare (plans) $10 - $13 75%
Node Champva $10 - $14 75%
Node Non Par Hospice Agree $10 - $13 75%
Node United Behavioral Va Ccn $10 - $13 75%
Node Va $10 - $13 75%
Ultimate Health $10 - $13 75%
Veterans Eval Services $10 - $13 75%
Correct Care Solutions $12 - $15 90%
Node Us Dept Of Labor $13 - $17 97%
Prime Health Work Comp Fl $18 134%
Fl Work Comp $19 142%
Heritage Summit Work Comp Fl $19 142%
State Auto Insurance Fl $21 - $27 157%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals