CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $198
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 14.79x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at University of Texas M. D. Anderson Cancer Center is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 14.79x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$198

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%)
Insurance Median: $198 (1479%)
Ins. Median: $198 (1479% 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 1479% of the Medicare baseline (a markup of 1379%). 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
Texaschildrens $11 - $121 82%
Medicare (plans) $112 - $121 836%
Vacare $112 - $121 836%
Memorialhermannhealth $165 - $206 1232%
Blue Cross Blue Shield $178 - $198 1329%
Cigna $178 - $206 1329%
UnitedHealthcare $178 - $206 1329%
Aetna $183 - $206 1367%
Humana $188 - $212 1404%
Ontarioministriesofhealth $188 - $204 1404%
Beijingst.Lucia $190 - $206 1419%
Embassyofqatar $190 - $206 1419%
Emergingtherapysolutions $190 - $220 1419%
Interlink $190 - $234 1419%
Tricare $190 - $206 1419%
Emergingtherapysolutions_Cancercare $203 - $220 1516%
Interlink_Cancercare $203 - $220 1516%
Saudiarmedforces $203 - $220 1516%
Uae_Medical $203 - $220 1516%
Uaepoliceattache $203 - $220 1516%
Healthsmart $216 - $234 1613%
Multiplan $216 - $236 1613%
Phcs $216 - $236 1613%
Vantage $216 - $234 1613%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL