CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: HCA Healthone Mountain Ridge

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $33
Cash Discount Price: $1,234
vs. Medicare Baseline: 2.46x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at HCA Healthone Mountain Ridge is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,234. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 2.46x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.

Cash / Self-Pay

$1,234

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $1,234 (9216%)

Insurance Median: $33 (246%)

Cash: $1,234 (9216% of Medicare)

Ins. Median: $33 (246% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 246% of the Medicare baseline (a markup of 146%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Cigna	$6 - $790	45%
Aetna	$13 - $651	97%
Blue Cross Blue Shield	$13 - $913	97%
Bright Health	$13 - $370	97%
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%
United	$13 - $555	97%
Delaware Life Insurance	$14	105%
Innovage Pace	$14	105%
Kaiser	$14 - $438	105%
Wellcare	$14	105%
Pinnacol Workers Comp	$37	276%
Multiplan	$38 - $1,110	284%
Vail Health	$188	1404%
Life Source Services	$350	2614%
Colorado Program For Children With Special Needs	$420	3137%
Western Plains Community Health	$802	5990%
Northcare	$864	6453%
Physician Health Partners	$864	6453%
Medical Development International	$987	7371%
Prime Health	$1,110	8290%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,234.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80061.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Healthone Mountain Ridge is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80061.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.