CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Laredo Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $27
  • Cash Discount Price: $185
  • vs. Medicare Baseline: 2.02x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Laredo Medical Center is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 2.02x the Medicare baseline. Located in 1700 East Saunders, Laredo, TX.
Cash / Self-Pay
$185

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $185 (1382%)
Insurance Median: $27 (202%)
Cash: $185 (1382% of Medicare)
Ins. Median: $27 (202% 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 202% of the Medicare baseline (a markup of 102%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Amerigroup $8 60%
Blue Cross Blue Shield $8 - $137 60%
Cigna $8 - $402 60%
Medicaid / KanCare $8 - $16 60%
Molina $8 - $16 60%
Superior $8 - $16 60%
UnitedHealthcare $8 - $179 60%
Humana $13 97%
Medicare (plans) $13 97%
Node Hospice Non Par Agree $13 97%
Node Ice Health Service Corps $13 97%
Node Va $13 97%
Triwest $13 97%
Veterans Eval Services $13 97%
Aetna $14 - $365 105%
American Health $14 105%
Node Amerigroup Mcr Adv $14 105%
Node Champva $14 105%
Node Tihp Mcr Adv $14 105%
Node Wellpoint Mcr Adv $14 105%
Provider Partners Health Plan $14 105%
Tricare $14 105%
Industrial Rehab $15 112%
Node Us Dept Of Labor $17 127%
Node Molina Health Exchange $22 164%
Node Brookshire Brothers $23 172%
Coventry Hcn Tx Work Comp $25 187%
Health Smart $25 - $440 187%
Node Brookshire Brothers Work Comp Tx $25 187%
Node Superior Commercial Exchange $27 202%
Tx Work Comp $27 202%
Imo Work Comp $31 232%
Node Naphcare $31 232%
Self Pay $44 - $82 329%
Lonestar Athletic $100 747%
Tx Workforce Commission $207 1546%
Mutual Of Omaha $409 - $597 3055%
Multiplan Primary $472 3525%
Medical Control $522 3898%
Accountable Health Plans $534 - $566 3988%
Health Headquarters $534 3988%
Multiplan $547 4085%
Nha $553 4130%
Galaxy Health Network $556 4152%
Cchn $566 4227%
Nppn Plan Vista $566 4227%
Ppo Next $566 4227%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 East Saunders, Laredo, TX 78044
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals