CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $38
  • Cash Discount Price: $1,378
  • vs. Medicare Baseline: 2.84x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at HCA Florida Lawnwood Hospital is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,378. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 2.84x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$1,378

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $1,378 (10291%)
Insurance Median: $38 (284%)
Cash: $1,378 (10291% of Medicare)
Ins. Median: $38 (284% 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 284% of the Medicare baseline (a markup of 184%). 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
Cigna $8 - $1,147 60%
Aetna $13 - $946 97%
Blue Cross Blue Shield $13 - $1,326 97%
Bright Health $13 - $538 97%
Careplus $13 97%
Devoted Health $13 97%
Humana $13 - $386 97%
Mutual Of Omaha $13 97%
Ndms Definitive Care $13 97%
Rocky Mountain Health $13 97%
Rocky Mountain Health Plan $13 97%
Total Longterm Care $13 97%
Triwest Health Alliance $13 97%
United $13 - $807 97%
United Behavioral Health $13 97%
Veterans Evaluation Services $13 97%
Wellmed $13 97%
American Health Plan $14 105%
Delaware Life Insurance $14 105%
Florida Complete Care $14 105%
Innovage Pace $14 105%
Kaiser $14 - $636 105%
Prominence Healthfirst $14 105%
Sunshine State $14 - $15 105%
Ultimate Health Plan $14 105%
Wellcare $14 105%
Centurion $15 112%
Amerihealth Caritas $16 119%
Longevity Health Plan $16 119%
Solis Health Plan $19 142%
Oscar $26 194%
Simply Healthcare $30 224%
Pinnacol Workers Comp $37 276%
Multiplan $38 - $1,613 284%
Freedom Health $83 - $154 620%
Optimum $83 620%
Avmed $125 - $482 934%
Simply Healthcare Plans $125 934%
Molina $183 - $260 1367%
Health Sun Health Plan $205 1531%
Corvel Corporation $223 1665%
Careworks (Rockport) $228 1703%
Prime Health $228 - $1,613 1703%
Sunshine State Health Plan $246 1837%
Vail Health $272 2031%
Office Of Sheiff Highland Co $337 2517%
United Ppo $424 3167%
Plotkin Health $482 3600%
Prime Health Sherriff $482 3600%
Evernorth Bh $771 5758%
Western Plains Community Health $1,165 8701%
Northcare $1,255 9373%
Physician Health Partners $1,255 9373%
Medical Development International $1,434 10709%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals