CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Marion Communtiy Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $22
  • Cash Discount Price: $1,962
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Marion Communtiy Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,962. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.64x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$1,962

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $1,962 (14653%)
Insurance Median: $22 (164%)
Cash: $1,962 (14653% of Medicare)
Ins. Median: $22 (164% 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
Humana $12 - $392 90%
Devoted Health $13 97%
Ndms Definitive Care $13 97%
United $13 - $883 97%
Va Purchased Care Program $13 97%
Veterans Evaluation Services $13 97%
Wellmed $13 97%
Align Senior Care $14 105%
American Health Plan $14 105%
Avmed $14 - $549 105%
Blue Cross Blue Shield $14 105%
Cigna $14 105%
Florida Complete Care $14 105%
Freedom Optimum $14 105%
Secur $14 105%
Sunshine State $14 105%
Wellcare $14 105%
Aetna $15 - $589 112%
Careplus $15 112%
Centurion $15 112%
Clear Spring Health $15 112%
Gold Kidney Of Florida $15 112%
Ultimate Health Plan $15 112%
Longevity Health Plan $16 119%
Simply Healthcare $17 127%
Naphcare $28 - $32 209%
University Ma Federal Corrections $28 209%
Wellpath $28 - $32 209%
Corvel Corporation $204 1524%
Prime Health $209 1561%
Careworks (Rockport Community) $215 1606%
Marion County Schools $215 1606%
Simply $302 2255%
Molina Healthcare $373 - $628 2786%
Evolutions $451 3368%
Evolutions Healthcare $451 3368%
Sunshine State Health Plan $500 3734%
Plotkin Health $981 7326%
Prime Health Sheriff $981 7326%
Multiplan $1,530 11426%
Ppo Next $1,668 12457%
Novanet $1,766 13189%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals