CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Gulf Breeze Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $19
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Gulf Breeze Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.42x the Medicare baseline. Located in 1110 Gulf Breeze Pkwy, Gulf Breeze, FL.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $5 (37%)
Insurance Median: $19 (142%)
Cash: $5 (37% of Medicare)
Ins. Median: $19 (142% 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
Pensacola $3 - $28 22%
Aetna $5 - $134 37%
Cha Health Plan $5 37%
Fl Community Care Ltc $5 37%
Humana $5 - $14 37%
Sunshine Health $5 37%
UnitedHealthcare $5 - $13 37%
Wellcare $5 - $14 37%
Hospice Regency $6 - $55 45%
Simply Healthcare Healthy Kids $6 45%
Cigna $10 - $184 75%
Hospice Emerald Coast $10 - $92 75%
Hospice Covenant $13 97%
Medicare (plans) $13 97%
First Health $14 - $128 105%
Private Healthcare $14 - $120 105%
Uwf Athletes $14 - $120 105%
Choicecare $16 - $138 119%
Multiplan $19 - $164 142%
Wc Corvel $20 - $193 149%
Fl Blue $22 - $333 164%
Bc Fl $208 1553%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals