CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Oviedo Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $15
Cash Discount Price: $532
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Oviedo Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $532. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.12x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.

Cash / Self-Pay

$532

Average discount available for prompt cash payment at this facility.

Insurance Median

$15

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: $532 (3973%)

Insurance Median: $15 (112%)

Cash: $532 (3973% of Medicare)

Ins. Median: $15 (112% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $106	90%
Devoted Health	$13	97%
Ndms Definitive Care	$13	97%
United	$13 - $239	97%
Wellmed	$13	97%
Aetna	$14 - $160	105%
Align Senior Care	$14	105%
American Health Plan	$14	105%
Avmed	$14 - $266	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	$38	284%
Optimum	$38	284%
Simply	$82	612%
Molina Healthcare	$101	754%
Evolutions	$122	911%
Sunshine State Health Plan	$136	1016%
Florida Health Care Plan	$201	1501%
Prime Health	$219	1636%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $532.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80061.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Oviedo Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80061.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.