CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: HCA Florida Fawcett Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $15
  • Cash Discount Price: $936
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at HCA Florida Fawcett Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $936. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.12x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.
Cash / Self-Pay
$936

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: $936 (6990%)
Insurance Median: $15 (112%)
Cash: $936 (6990% 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
Behealthy America $1 - $729 7%
Evolutions Healthcare Systems $2 - $1,719 15%
Healthcare Sarasota $2 - $934 15%
Plotkin Health $2 - $934 15%
Prime Health Sheriff $2 - $934 15%
United $2 - $841 15%
Multiplan $3 - $1,588 22%
Humana $12 - $523 90%
Aetna $13 - $561 97%
Caresource $13 97%
Ndms Definitive Care $13 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%
Centurion $15 112%
Clear Spring Health $15 112%
Gold Kidney Of Florida $15 112%
Simply Healthcare $19 - $288 142%
Oscar $21 157%
Access 2 Healthcare Physicians Freedom Optimum Group Members $88 657%
Access 2 Healthcare Physicians Freedom Health $135 1008%
Access 2 Healthcare Physicians Optimum $135 1008%
Freedom Health Care $146 1090%
Optimum Healthcare $146 1090%
Avmed $149 - $467 1113%
Corvel Corporation $211 1576%
Rockport Healthcare Group $211 1576%
Prime Health $215 1606%
Molina $355 - $504 2651%
Sunshine State Health Plan $476 3555%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 21298 Olean Blvd, Port Charlotte, FL 33952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals