CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: HCA Florida St Petersburg Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $14
  • Cash Discount Price: $52
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at HCA Florida St Petersburg Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 6500 38Th Ave N, Saint Petersburg, FL.
Cash / Self-Pay
$52

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: $52 (388%)
Insurance Median: $14 (105%)
Cash: $52 (388% 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.

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
Evolutions Healthcare Systems $2 - $93 15%
Plotkin Health $2 - $51 15%
Prime Health Sheriff $2 - $51 15%
United $2 - $46 15%
Multiplan $3 - $86 22%
Access 2 Healthcare Physicians Freedom Optimum Group Members $5 37%
Access 2 Healthcare Physicians Freedom Health $7 52%
Access 2 Healthcare Physicians Optimum $7 52%
Avmed $8 - $25 60%
Freedom Health Care $8 60%
Optimum Healthcare $8 60%
Suncoast Neighborly Care $8 60%
Humana $12 - $28 90%
Aetna $13 - $30 97%
Caresource $13 97%
Devoted Health $13 97%
Ndms Definitive Care $13 97%
Sunshine State $13 97%
United Va Ccn $13 97%
Wellmed $13 97%
Align Senior Care $14 105%
American Health Plan $14 105%
Baycare Health Plans $14 105%
Blue Cross Blue Shield $14 105%
Cigna $14 105%
Florida Complete Care $14 105%
Secur $14 105%
Ultimate Health Plan $14 105%
Wellcare $14 105%
Careplus $15 112%
Centurion $15 112%
Clear Spring Health $15 112%
Gold Kidney Of Florida $15 112%
Longevity Health Plan $16 119%
Simply Healthcare $16 119%
Oscar $18 134%
Molina $19 - $27 142%
Solis Health Plan $19 142%
Sunshine State Health Plan $26 194%
Corvel Corporation $217 1621%
Rockport Healthcare Group $217 1621%
Prime Health $222 1658%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 38Th Ave N, Saint Petersburg, FL 33710
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals