CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: HCA Florida Blake Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $101
  • Cash Discount Price: $1,401
  • vs. Medicare Baseline: 7.54x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at HCA Florida Blake Hospital is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,401. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 7.54x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.
Cash / Self-Pay
$1,401

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

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: $1,401 (10463%)
Insurance Median: $101 (754%)
Cash: $1,401 (10463% of Medicare)
Ins. Median: $101 (754% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 754% of the Medicare baseline (a markup of 654%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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%
Aetna $13 - $420 97%
Caresource $13 97%
Devoted Health $13 97%
Ndms Definitive Care $13 97%
United $13 - $631 97%
United Va Ccn $13 97%
Wellmed $13 97%
Align Senior Care $14 105%
American Health Plan $14 105%
Blue Cross Blue Shield $14 105%
Cigna $14 105%
Florida Complete Care $14 105%
Secur $14 105%
Sunshine State $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%
Simply Healthcare $19 - $238 142%
Oscar $21 157%
Access 2 Healthcare Physicians Freedom Optimum Group Members $66 493%
Access 2 Healthcare Physicians Freedom Health $101 754%
Access 2 Healthcare Physicians Optimum $101 754%
Freedom Health Care $109 814%
Optimum Healthcare $109 814%
Avmed $112 - $350 836%
Corvel Corporation $217 1621%
Rockport Healthcare Group $217 1621%
Prime Health $222 1658%
Molina $266 - $378 1987%
Evolutions Healthcare Systems $322 - $1,289 2405%
Sunshine State Health Plan $357 2666%
Behealthy America $546 4078%
Healthcare Sarasota $701 5235%
Plotkin Health $701 5235%
Prime Health Sheriff $701 5235%
Multiplan $1,051 - $1,191 7849%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 59Th St W, Bradenton, FL 34209
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals