CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $17
  • Cash Discount Price: $1,015
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at HCA Florida Gulf Coast Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,015. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.27x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.
Cash / Self-Pay
$1,015

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: $1,015 (7580%)
Insurance Median: $17 (127%)
Cash: $1,015 (7580% 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
Humana $12 - $386 90%
Hospice Big Bend $13 97%
Ndms Definitive Care $13 97%
Triwest Healthcare Alliance $13 97%
United $13 - $457 97%
Veterans Evaluation Services $13 97%
Wellmed $13 97%
Aetna $14 - $304 105%
Align Senior Care $14 105%
American Health Plan $14 105%
Blue Cross Blue Shield $14 105%
Florida Complete Care $14 105%
Healthspring Of Florida $14 105%
Sunshine State $14 105%
Wellcare $14 105%
Centurion $15 112%
Clear Spring Health $15 112%
Gold Kidney Of Florida $15 112%
Ultimate Health Plan $15 112%
Longevity Health Plan $16 119%
Oscar $18 134%
Simply Healthcare $21 157%
Simply $156 1165%
Molina Healthcare $193 - $325 1441%
Corvel Corporation $199 1486%
Prime Health $204 1524%
Careworks (Rockport Community) $210 1568%
Avmed $244 - $508 1822%
Sunshine State Health Plan $259 1934%
Plotkin Health $508 3794%
Prime Health Sheriff $508 3794%
Multiplan $792 - $863 5915%
Ppo Next $863 6445%
Novanet $914 6826%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 449 W 23Rd St, Panama City, FL 32405
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals