CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Knapp Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $14
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Knapp Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.
Cash / Self-Pay
$13

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: $13 (97%)
Insurance Median: $14 (105%)
Cash: $13 (97% 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
Corvel $9 67%
Zelis Healthcare Fka Stratose $10 75%
Provider Network Of America $11 82%
Superior Health Plan $11 - $23 82%
UnitedHealthcare $11 - $23 82%
Molina $12 - $24 90%
Provider Select $12 90%
Three Rivers $12 90%
Americas Choice Provider Network (Acpn) $13 97%
Blue Cross Blue Shield $13 - $48 97%
Cigna $13 - $22 97%
Coventry (First Health) $13 97%
Division Of Immigration Health $13 97%
Medicare (plans) $13 97%
Prime Health Services $13 97%
Texas Bluebonnet Health Plan $13 - $22 97%
Tricare $13 97%
Veterans Evaluation Services $13 97%
Wellmed Aarp Ma Fka Physicians Health Choice $13 97%
Worker Comp $13 97%
Imperial Insurance Companies $14 105%
Multiplan $14 105%
Provider Partners Health Plan $14 105%
Frontier Health (Fka Asserta Health) $17 127%
Magic Valley Electric Cooperative $17 127%
Texas Oncology Pa Op $17 127%
Employer Direct Healthcare $19 142%
Corporate Remedies (Wc) $20 149%
Naphcare $21 157%
Medicaid / KanCare $22 164%
Occunet $23 172%
Baker Benefits Administrators $27 202%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East Eight Street, Weslaco, TX 78596
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals