CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Larkin Community Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $15
  • Cash Discount Price: $231
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Larkin Community Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $231. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.12x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$231

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $231 (1725%)
Insurance Median: $15 (112%)
Cash: $231 (1725% of Medicare)
Ins. Median: $15 (112% 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
Medicaid / KanCare $3 - $5 22%
Corvel Mcaid Workers Comp $4 30%
Sunshine Behavioral $4 30%
Aetna $5 - $330 37%
Ambetter / Centene $5 37%
Community Care Phks Mcaid-All Other Plans $5 37%
Florida Comm Care Mcaid $5 37%
Humana $5 - $330 37%
Molina Exch Marketplace-All Other Plans $5 37%
UnitedHealthcare $5 - $18 37%
Blue Cross Blue Shield $13 - $172 97%
Florida Comm Care Mcare-All Other Plans $13 97%
Medicare (plans) $13 - $346 97%
Ops Maritime-All Plans $13 97%
Opus Hospice Ip Only-All Plans $13 97%
Preferred Care Partners Mcare-All Plans $13 97%
Clear Springs Hlth-All Plans $14 105%
Unicare Simply Mcare Ppo-All Plans $14 105%
Fci-All Plans $15 112%
Wellpath-All Plans $15 112%
Allianz (Azga)-All Plans $17 127%
Fdc-All Plans $44 329%
Cigna $82 612%
Healthsun-All Plans $99 739%
Star Network-All Plans $132 986%
Jmh Health Plan Hmo/Ppo-All Other Plans $182 1359%
Global Excel-All Plans $198 1479%
Haa Preferred Partners-All Plans $198 1479%
Corvel Mcare Workers Comp-All Plans $297 2218%
Magellan Complete Care $297 2218%
Avmed-All Plans $330 2465%
Careplus Health-All Other Plans $330 2465%
Centurion-All Plans $330 2465%
Coventry Comml-All Plans $330 2465%
Doctors Healthcare-All Plans $330 2465%
First Med Hp Of Fl-All Plans $330 2465%
Florida Health Solution/Hmo-All Plans $330 2465%
Bright Health-All Other Plans $396 2957%
Oscar Health-All Plans $660 4929%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals