CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Jefferson Abington Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $14
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Jefferson Abington Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 1200 Old York Road, Abington, PA.
Cash / Self-Pay
$15

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: $15 (112%)
Insurance Median: $14 (105%)
Cash: $15 (112% 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
Abington Pro Ibc $9 67%
Blue Cross Blue Shield $9 - $13 67%
Medicare (plans) $9 - $19 67%
Innovage $13 97%
Innovage Pro $13 97%
Inspira Life $13 97%
Inspira Life Pro $13 97%
Jefferson Health Plan Aca Exchange $13 97%
Jefferson Health Plan Aca Qhp Exchange $13 97%
Jup Highmark $13 97%
Point Of Comfort Refugee Resettlement $13 97%
Provider Partners Health Plan $13 97%
St Agnes $13 97%
Tricare $13 97%
UnitedHealthcare $13 - $20 97%
Abington Pro Keystone First Vip $14 105%
Aetna $14 - $34 105%
Cigna $14 - $20 105%
Devoted Health Participation $14 105%
Humana $14 105%
Jup Geisinger Commercial $14 - $34 105%
Keystone First Vip Choice $14 105%
Pro Provider Partners Pphp $14 105%
Allwell Pa Health_Wellness Ma $15 112%
Highmark Wholecare Gateway Pro $15 112%
Medicaid / KanCare $15 - $28 112%
Highmark Wholecare Gateway $16 119%
Perennial $16 119%
Perennial Pro $16 119%
Ibc Employee Benefit $17 127%
Ibc Main Line Health $17 127%
Keystone First $17 127%
Jup Pa Health_Wellness $18 134%
Pa Health_Wellness Chc $18 134%
Ambetter / Centene $19 142%
Ibc $19 - $40 142%
Pro Naphcare $19 142%
Upmc Commercial $20 149%
Naphcare $21 157%
Highmark $32 - $38 239%
Geisinger Health Plan $55 411%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 Old York Road, Abington, PA 19001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals