CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: HCA Florida Raulerson Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $14
  • Cash Discount Price: $573
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at HCA Florida Raulerson Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $573. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$573

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $573 (4279%)
Insurance Median: $14 (105%)
Cash: $573 (4279% of Medicare)
Ins. Median: $14 (105% 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
Freedom Health $1 - $181 7%
Optimum $1 - $97 7%
Avmed $2 - $565 15%
Simply Healthcare Plans $2 - $147 15%
Health Sun Health Plan $3 - $241 22%
Molina $3 - $305 22%
Sunshine State Health Plan $4 - $288 30%
Aetna $5 - $339 37%
Humana $6 - $452 45%
United $7 - $508 52%
United Ppo $7 - $497 52%
Plotkin Health $8 - $565 60%
Prime Health Sherriff $8 - $565 60%
Multiplan $12 - $960 90%
Careplus $13 97%
Devoted Health $13 97%
Ndms Definitive Care $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%
Prominence Healthfirst $14 105%
Sunshine State $14 - $15 105%
Ultimate Health Plan $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%
Corvel Corporation $201 1501%
Careworks (Rockport) $206 1538%
Prime Health $206 1538%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals