CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Oklahoma Heart Hospital, LLC

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $23
  • Cash Discount Price: $433
  • vs. Medicare Baseline: 1.72x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Oklahoma Heart Hospital, LLC is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $433. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.72x the Medicare baseline. Located in 4050 West Memorial Road, Oklahoma City, OK.
Cash / Self-Pay
$433

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $433 (3234%)
Insurance Median: $23 (172%)
Cash: $433 (3234% of Medicare)
Ins. Median: $23 (172% 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 $12 - $35 90%
Humana $12 - $35 90%
Blue Cross Blue Shield $13 - $48 97%
Cigna $13 - $36 97%
Geha $13 97%
Healthcare Highways $13 - $31 97%
Medicare (plans) $13 - $14 97%
UnitedHealthcare $13 97%
Va Ccn $13 97%
Veterans Eval Services $13 97%
Ambetter / Centene $19 142%
Healthscope $23 172%
Oscar Insurance Company $23 172%
Webtpa Chickasaw Nation Hch $24 179%
Community Care $27 - $36 202%
Webtpa Hobby Lobby Hch $27 202%
Coventry $30 224%
Global Health $32 239%
Sana Benefits $33 246%
The Kempton Group $33 246%
Ufcw $33 246%
First Health Network $35 261%
Manhattan Life $35 261%
Phcs $36 269%
Preferred Community Choice $39 291%
Multiplan $46 344%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4050 West Memorial Road, Oklahoma City, OK 73120
  • CMS Rating: ★★★★☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals