CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: HCA Healthone Presbyterian St Luke's

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $13
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at HCA Healthone Presbyterian St Luke's is $13. 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 0.97x the Medicare baseline. Located in 1719 E 19Th Ave, Denver, CO.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $13 (97%)
Cash: $15 (112% of Medicare)
Ins. Median: $13 (97% 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
Vail Health $2 15%
Kaiser $3 - $14 22%
United $3 - $13 22%
Bright Health $4 - $13 30%
Cigna $4 - $13 30%
Emerging Therapy Solutions $7 - $10 52%
Kaiser National Transplant $7 - $13 52%
Aetna $8 - $13 60%
Colorado Program For Children With Special Needs $8 60%
Multiplan $10 - $38 75%
Northcare $10 75%
Physician Health Partners $10 75%
Western Plains Community Health $10 75%
Blue Cross Blue Shield $11 - $64 82%
UnitedHealthcare $11 82%
Medical Development International $12 90%
Devoted Health $13 97%
Humana $13 97%
Mutual Of Omaha $13 97%
Rocky Mountain Health $13 97%
Rocky Mountain Health Plan $13 97%
Total Longterm Care $13 97%
Triwest Health Alliance $13 97%
Delaware Life Insurance $14 105%
Innovage Pace $14 105%
Prime Health $14 105%
Wellcare $14 105%
Pinnacol Workers Comp $37 276%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1719 E 19Th Ave, Denver, CO 80218
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals