CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: HCA Houston Healthcare Southeast

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $19
  • Cash Discount Price: $2,850
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at HCA Houston Healthcare Southeast is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,850. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.42x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$2,850

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $2,850 (21285%)
Insurance Median: $19 (142%)
Cash: $2,850 (21285% of Medicare)
Ins. Median: $19 (142% 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 $8 - $88 60%
Amerigroup $8 - $13 60%
Community Health Choice Mcd $8 60%
Molina Healthcare $8 - $29 60%
Texas Childrens Health Plans $8 - $502 60%
Texas Health Network $8 60%
United $8 - $1,283 60%
Humana $10 - $179 75%
Blue Cross Blue Shield $13 - $998 97%
Chc Harris Health $13 97%
Cigna $13 - $2,280 97%
Devoted Health $13 97%
Kelsey Seybold $13 97%
Oscar $13 - $39 97%
Renaissance Ipa Radiology $13 97%
Triwest Healthcare Alliance $13 97%
Wellmed $13 97%
American Health Plan $14 105%
Christus (Usfhp) $14 105%
Integranet Amerigroup Ipa $14 105%
Procare Advantage $14 105%
Provider Partners Health Plan Of Texas $14 105%
Shared Health $14 105%
Superior Health Plan $14 - $171 105%
Van Lang Ipa $14 105%
Wellcare $14 105%
Kindred Hospital $15 112%
Molina $15 112%
Universal Healthcare Group $16 119%
Verda Health Plan $17 127%
Community Health Choice $19 142%
Superior $19 - $21 142%
Corvel Corporation $27 202%
Omni Healthcare $28 209%
Healthcare Highways $40 299%
Texas Workforce Commission $684 5108%
Evry Health $778 5810%
Imagine Health $998 7453%
Healthsmart Preferred Care $1,226 - $2,423 9156%
Averde Health $1,283 9582%
Fidelis Securecare Of Tx $1,283 9582%
Multiplan $1,425 - $2,565 10642%
Coventry National First Health $1,519 11344%
Physicians Cooperative Of Texas $1,568 11710%
Rockport Workers Comp $1,568 11710%
Beech Street $1,710 - $2,280 12771%
Independent Medical System $1,710 12771%
National Healthcare Solutions $1,710 12771%
Prime Health Services $1,710 12771%
Southwest Medical $1,710 12771%
Coastal Comp $1,853 13839%
Fiesta Mart, Inc $2,138 15967%
Physicians, Inc $2,423 18096%
Affiliated Ppo $2,565 19156%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals