Blood test, cholesterol (lipid panel)
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 80061 (CPT)
- CPT Billing Code: 80061
- Insurance Median: $221
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 16.50x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1650% of the Medicare baseline (a markup of 1550%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Ambetter / Centene | $2 | 15% |
| Devoted Health Plan | $13 - $152 | 97% |
| UnitedHealthcare | $13 - $215 | 97% |
| Oxford | $13 - $227 | 97% |
| Global Exchange Managed Care | $20 | 149% |
| Health Partners Plan | $27 - $76 | 202% |
| Horizon | $42 - $212 | 314% |
| Self Pay | $45 | 336% |
| Magnacare | $121 - $273 | 904% |
| Cigna | $127 - $153 | 948% |
| Qualcare Commercial | $152 | 1135% |
| Evernorth | $152 | 1135% |
| Great West Life | $153 | 1143% |
| Aetna | $174 - $250 | 1299% |
| Amerihealth | $195 - $255 | 1456% |
| Active Care Plus | $197 | 1471% |
| Mutual of Omaha | $197 | 1471% |
| First McO | $197 | 1471% |
| Qualcare Wc | $197 | 1471% |
| Consumer Health Network (Chn) | $212 - $273 | 1583% |
| Donio Trucking | $212 | 1583% |
| Devon/ Ullicare | $227 | 1695% |
| Coventry Health Care | $242 | 1807% |
| Private Healthcare System (PHCS) | $242 | 1807% |
| Blue Cross Blue Shield | $249 | 1860% |
| Health South | $258 | 1927% |
| Metrahealth of Nj | $258 | 1927% |
| Health Payors Org | $258 | 1927% |
| Three Rivers Provider Network (Trpn) | $258 | 1927% |
| Prime Health Services | $258 | 1927% |
| Intergroup Preferred Program | $273 | 2039% |
| Metracomp | $273 | 2039% |
| Health Network Inc | $273 | 2039% |
| Beech Street | $273 | 2039% |
| Department of Corrections | $273 | 2039% |
| Active Care Nj Pip | $273 | 2039% |
| McS Commercial | $273 | 2039% |
| Provider Select, Inc | $273 | 2039% |
| Choice Care | $273 | 2039% |
| Multiplan | $273 | 2039% |
| Galaxy Health Network | $273 | 2039% |
| Master Care Inc | $280 | 2091% |
| Atlantis Health Plan | $280 | 2091% |
| McSi/Mrsi No Fault | $288 | 2151% |
| Advance Healthcare System | $288 | 2151% |
| Health Network America | $288 | 2151% |
| Community Care Network | $288 | 2151% |
| National Health Plan | $288 | 2151% |
| McSi/Mrsi Worker's Comp | $288 | 2151% |