CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Medical Center Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $28
Cash Discount Price: $173
vs. Medicare Baseline: 2.09x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Medical Center Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 2.09x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$173

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $173 (1292%)

Insurance Median: $28 (209%)

Cash: $173 (1292% of Medicare)

Ins. Median: $28 (209% 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 209% of the Medicare baseline (a markup of 109%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 Wc	$7	52%
Geha	$7	52%
UnitedHealthcare	$7 - $18	52%
Medicaid / KanCare	$8	60%
Superior Chips	$8	60%
Ambetter / Centene	$12 - $14	90%
Amerigroup	$12	90%
Blue Cross Blue Shield	$12 - $117	90%
Community Health Choice	$12	90%
First Care Health Plan	$12	90%
Superior Health Plan	$12	90%
Aetna	$13 - $179	97%
Care Improvement Plus	$13	97%
Humana	$13	97%
Novitas Solutions	$13	97%
Triwest Va Ccn	$13	97%
Wellcare By Allwell	$14	105%
Group Resources	$16	119%
Workers Comp	$27	202%
Health Select	$37 - $117	276%
90 Degree Benefits	$44 - $130	329%
Cigna	$51	381%
Caprock	$58 - $69	433%
Healthsmart Preferred Care	$64 - $163	478%
State Comptroller	$136	1016%
Texas Mutual Wc	$179	1337%
Firstcare	$190	1419%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $173.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80061.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical Center Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80061.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.