CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Flushing Hospital Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $14
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Flushing Hospital Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 45Th Avenue and Parsons Boulevard, Flushing, NY.
Cash / Self-Pay
$36

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: $36 (269%)
Insurance Median: $14 (105%)
Cash: $36 (269% 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
UnitedHealthcare $6 - $19 45%
Ghi $9 - $13 67%
Healthfirst $11 82%
Aetna $13 97%
Beacon Health Strategies $13 97%
Centerlight Healthcare $13 97%
Elderplan $13 97%
Empire $13 - $25 97%
Fidelis $13 97%
Hip $13 - $20 97%
Metroplus $13 - $15 97%
Oscar $13 97%
Villagecaremax $13 97%
Humana $14 105%
Senior Whole Health $14 105%
Vns $14 105%
Wellcare Of Ny $14 105%
Centers Plan For Healthy Living $15 112%
Elderserve Health $15 112%
Hamaspik Choice $15 112%
Magnacare $15 112%
Centivo $17 127%
1199 National Benefit Fund $19 142%
Emblemhealth $21 157%
Empire Blue Priority $21 157%
Cigna $25 187%
Hotel Trades Council $1,912 14279%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 45Th Avenue and Parsons Boulevard, Flushing, NY 11355
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals