CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Sunrise Hospital and Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $13
  • Cash Discount Price: $54
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Sunrise Hospital and Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 0.97x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$54

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: $54 (403%)
Insurance Median: $13 (97%)
Cash: $54 (403% 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
Aetna $2 - $22 15%
Cigna $5 - $35 37%
United $6 - $748 45%
Humana $8 - $19 60%
Amerigroup $9 67%
Blue Cross Blue Shield $9 - $17 67%
Community Care Health $9 67%
Health Plan Nevada $9 - $10 67%
Molina Healthcare $9 - $10 67%
Sierra Hpn $9 67%
Ambetter / Centene $10 - $14 75%
Caresource $10 75%
Molina $10 75%
Silver Summit $10 75%
Alignment Health Plan $13 97%
Health Net $13 97%
Hometown Health Mcr $13 97%
Select Health $13 - $825 97%
Sierra $13 - $17 97%
Triwest Healthcare Alliance $13 97%
Caremore $14 105%
Health Services Coalition $14 105%
Imperial Nv $15 112%
Universal Healthcare $16 119%
Legacy Provider Network $40 299%
Corvel $42 - $45 314%
Comp-Med Workers Comp $43 321%
Olympus Medsave Usa $44 - $2,684 329%
Prominence Healthfirst $1,073 8013%
Cmn Global $1,503 11225%
Hometown Health Providers $1,789 13361%
Nv Health & Welfare Trust $2,147 16034%
Multiplan $2,254 - $2,612 16833%
First Health $2,361 - $2,862 17633%
Medcare International $2,684 20045%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals