CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: HCA Florida Capital Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $22
  • Cash Discount Price: $768
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at HCA Florida Capital Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $768. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.64x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.
Cash / Self-Pay
$768

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $768 (5736%)
Insurance Median: $22 (164%)
Cash: $768 (5736% of Medicare)
Ins. Median: $22 (164% 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 - $154 90%
Ndms Definitive Care $13 97%
United $13 - $346 97%
United Behavioral Health $13 97%
Wellmed $13 97%
Aetna $14 - $230 105%
Align Senior Care $14 105%
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%
Centurion $15 112%
Clear Spring Health $15 112%
Gold Kidney Of Florida $15 112%
Ultimate Health Plan $15 112%
Longevity Health Plan $16 119%
Gadsden County Jail $17 127%
Physician Network Association $17 127%
Oscar $18 134%
Simply Healthcare $21 157%
Naphcare $23 172%
Simply $118 881%
Molina Healthcare $146 - $246 1090%
Avmed $184 - $384 1374%
Sunshine State Health Plan $196 1464%
Corvel Corporation $199 1486%
Prime Health $203 1516%
Careworks (Rockport Community) $210 1568%
Plotkin Health $384 2868%
Prime Health Sheriff $384 2868%
Multiplan $599 - $653 4473%
Evernorth $614 4586%
Evolutions Healthcare $653 4877%
Ppo Next $653 4877%
Novanet $691 5161%
Beacon Health Options $768 5736%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2626 Capital Medical Blvd, Tallahassee, FL 32308
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals