CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $14
  • Cash Discount Price: $920
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Southern Hills Hospital and Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $920. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.
Cash / Self-Pay
$920

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $920 (6871%)
Insurance Median: $14 (105%)
Cash: $920 (6871% of Medicare)
Ins. Median: $14 (105% 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%
Community Care Health $9 67%
Molina Healthcare $9 - $10 67%
Sierra Hpn $9 67%
Ambetter / Centene $10 - $14 75%
Caresource $10 75%
Alignment Health Plan $13 97%
Blue Cross Blue Shield $13 - $17 97%
Health Net $13 97%
Hometown Health Mcr $13 97%
Humana $13 97%
Select Health $13 - $212 97%
Sierra $13 97%
Triwest $13 97%
United $13 - $201 97%
Caremore $14 105%
Health Services Coalition $14 105%
Imperial Nv $15 112%
Universal Healthcare $16 119%
Cigna $35 261%
Corvel $45 336%
Olympus Medsave Usa $47 - $690 351%
Prominence Healthfirst $276 2061%
Cmn Global $386 2883%
Evernorth $460 3435%
Hometown Health Providers $460 3435%
Nv Health & Welfare Trust $552 4122%
Multiplan $580 - $672 4332%
First Health $607 - $736 4533%
Medcare International $690 5153%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 West Sunset Rd, Las Vegas, NV 89148
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals