CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: HCA Florida Orange Park Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $17
  • Cash Discount Price: $1,315
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at HCA Florida Orange Park Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,315. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.27x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.
Cash / Self-Pay
$1,315

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $1,315 (9821%)
Insurance Median: $17 (127%)
Cash: $1,315 (9821% of Medicare)
Ins. Median: $17 (127% 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
Hospice Community $11 82%
Hospice Haven $12 90%
Careplus $13 97%
Devoted Health $13 97%
Humana $13 - $539 97%
Ndms Definitive Care $13 97%
United $13 - $592 97%
United Behavioral Health $13 97%
Veterans Evaluation Services $13 97%
Wellmed $13 97%
American Health Plan $14 105%
Blue Cross Blue Shield $14 105%
Cigna $14 105%
Florida Complete Care $14 105%
Sunshine State $14 105%
Wellcare $14 105%
Gold Kidney $15 112%
Longevity $16 119%
Clay County Sheriffs Office $17 127%
Simply Healthcare $17 - $203 127%
Oscar $19 142%
Optimum Healthcare $110 822%
Avmed $158 - $368 1180%
Corvel Corporation $214 1598%
Prime Health $219 1636%
Positive Healthcare $289 2158%
Sunshine State Health Plan $335 2502%
Molina Healthcare $355 2651%
Aetna $395 2950%
Medicare (plans) $592 4421%
Plotkin Health $658 4914%
Multiplan $1,026 - $1,118 7662%
Evernorth $1,052 7857%
Evolutions Healthcare $1,052 - $1,118 7857%
Ppo Next $1,118 8350%
Novanet $1,184 8842%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 Kingsley Ave, Orange Park, FL 32073
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals