CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Palmetto General Hospital
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $16
- Cash Discount Price: $2,535
- vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Palmetto General Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,535. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.19x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$2,535
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: $2,535 (18932%)
Insurance Median: $16 (119%)
Cash: $2,535 (18932% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Humana | $5 - $1,029 | 37% |
| Medicaid / KanCare | $5 - $2,535 | 37% |
| UnitedHealthcare | $5 - $13 | 37% |
| Cigna | $7 - $1,268 | 52% |
| Veterans Administration Mill Bill | $9 | 67% |
| Avmed Broad Network | $12 | 90% |
| Medicare (plans) | $12 - $2,535 | 90% |
| Aetna | $13 - $1,800 | 97% |
| Bristol Hospice- Miami Dade Llc | $13 | 97% |
| Catholic Hospice | $13 | 97% |
| Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc | $13 | 97% |
| Devoted Health | $13 | 97% |
| Employer Direct Healthcare | $13 - $17 | 97% |
| Hospice Other | $13 | 97% |
| Ima Evalutations Inc | $13 | 97% |
| Leon Health Inc | $13 | 97% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $13 | 97% |
| Opuscare Of South Fl | $13 | 97% |
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $13 | 97% |
| Select Specialty Hospital | $13 | 97% |
| Tricare | $13 | 97% |
| Veterans Administration Vaccn | $13 | 97% |
| Vitas Healthcare Hospice | $13 | 97% |
| Westchester General Hospital | $13 | 97% |
| Healthsun Health Plans | $14 | 105% |
| Longevity Health Plan | $14 | 105% |
| Bright Health Management Commercial | $16 | 119% |
| Florida Pace Centers | $16 | 119% |
| Imagine Health | $16 | 119% |
| Oscar Health Plan Hix | $16 | 119% |
| Self Pay/Uninsured | $16 | 119% |
| Naphcare Inc | $18 | 134% |
| Dimension Health Wc | $19 | 142% |
| Workers Compensation | $19 | 142% |
| Avmed Exchange | $23 | 172% |
| Ambetter / Centene | $25 | 187% |
| Molina Marketplace Program Exchange | $26 | 194% |
| Auto Insurance | $27 | 202% |
| Avmed Select Network | $27 | 202% |
| Amerihealth Caritas Next Exchange | $29 | 217% |
| Bc/Bs Myblue Hmo Hix | $364 | 2718% |
| Bc/Bs Of Fl Network Blue | $364 | 2718% |
| Bc/Bs Of Fl Simplyblue | $364 | 2718% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $387 | 2890% |
| Bc/Bs Of Fl Health Options Hmo | $387 | 2890% |
| Bc/Bs Of Fl Ppo | $387 | 2890% |
| Bc/Bs Of Fl Miami Dade Blue Select | $511 | 3816% |
| Liga Contra El Cancer | $1,268 | 9470% |
| Bc/Bs Of Fl Phs | $1,272 | 9500% |
| Magellan Behavioral Health | $1,521 | 11359% |
| Dimensions International | $1,648 | 12308% |
| First Health | $1,699 | 12689% |
| Dimension Health Ppo | $1,902 | 14205% |
| Beacon Health Strategies Commercial | $2,535 | 18932% |
| Commercial Non-Contracted | $2,535 | 18932% |
| Self Pay - Mcd Pending 100 Percent | $2,535 | 18932% |
| Single Case Agreement | $2,535 | 18932% |
| United Behavioral Health Psych | $2,535 | 18932% |