CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: HCA Florida Poinciana Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $21
  • Cash Discount Price: $1,915
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at HCA Florida Poinciana Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,915. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.57x the Medicare baseline. Located in 325 Cypress Pkwy, Kissimmee, FL.
Cash / Self-Pay
$1,915

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $1,915 (14302%)
Insurance Median: $21 (157%)
Cash: $1,915 (14302% of Medicare)
Ins. Median: $21 (157% 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 - $536 90%
Devoted Health $13 97%
Ndms Definitive Care $13 97%
United $13 - $862 97%
Wellmed $13 97%
Aetna $14 - $575 105%
Align Senior Care $14 105%
American Health Plan $14 105%
Avmed $14 - $958 105%
Blue Cross Blue Shield $14 105%
Cigna $14 105%
Fl Health Care Plan $14 105%
Florida Complete Care $14 105%
Sunshine State $14 105%
Wellcare $14 105%
Careplus $15 112%
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 $19 142%
Solis Health Plan $19 142%
Simply Healthcare $21 157%
Freedom Health $138 1031%
Optimum $138 1031%
Corvel Corporation $214 1598%
Prime Health $219 1636%
Careworks (Rockport Community) $226 1688%
Simply $295 2203%
Molina Healthcare $364 - $517 2718%
Evolutions $440 3286%
Sunshine State Health Plan $488 3645%
Plotkin Health $958 7155%
Prime Health Sheriff $958 7155%
Multiplan $1,436 - $1,628 10724%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 325 Cypress Pkwy, Kissimmee, FL 34758
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals