CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Hospital Pavia Arecibo

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $19
  • Cash Discount Price: $180
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Hospital Pavia Arecibo is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.42x the Medicare baseline. Located in Carretera 129 Km.1 Avenida San Luis, Arecibo, PR.
Cash / Self-Pay
$180

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $180 (1344%)
Insurance Median: $19 (142%)
Cash: $180 (1344% of Medicare)
Ins. Median: $19 (142% 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
First Medical $13 - $21 97%
Mso $13 - $16 97%
Plan Auxilio Mutuo $13 97%
Plan De Salud Menonita $13 - $19 97%
Triple S $13 - $30 97%
Ch $17 127%
Humana $17 - $30 127%
Mcs $17 - $30 127%
Tricare $17 127%
Va $17 127%
Comerciales $18 134%
Medicare (plans) $18 134%
Auxilio Platino $19 142%
Hospicio $19 142%
Mc $19 142%
Privado $19 142%
Prossam $24 179%
Acaa $28 209%
Aarp $30 224%
Bl $30 224%
Mapfre $30 224%
Cigna $34 254%
Fondo Del Seguro Estado $34 254%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carretera 129 Km.1 Avenida San Luis, Arecibo, PR 00612
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals