CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Albany Medical Center Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $14
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Albany Medical Center Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$14

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: $14 (105%)
Insurance Median: $14 (105%)
Cash: $14 (105% 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
Fidelis $3 - $105 22%
Empire Plan Nyship $4 - $140 30%
Magnacare $4 - $140 30%
Multiplan $4 - $149 30%
UnitedHealthcare $4 - $140 30%
Aetna $5 - $31 37%
Medicaid / KanCare $6 45%
Blue Shield Highmark $8 - $27 60%
Blue Cross Blue Shield $9 - $103 67%
Cdphp $9 - $103 67%
Mvp $10 - $46 75%
Cigna $13 97%
Hamaspik $13 - $107 97%
Medicare (plans) $13 97%
Emblem Health Ghi $14 - $25 105%
Mvp Commercial $14 105%
Nascentia Health Options $14 105%
Tricare $14 105%
Emblem $15 - $58 112%
Nascentia $15 112%
Blue Shield $17 - $48 127%
Emblem_Ghi $24 - $58 179%
Mvp Essential Plan $98 732%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals