CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: HCA Houston Healthcare Conroe

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $16
  • Cash Discount Price: $1,807
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at HCA Houston Healthcare Conroe is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,807. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.19x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.
Cash / Self-Pay
$1,807

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $1,807 (13495%)
Insurance Median: $16 (119%)
Cash: $1,807 (13495% of Medicare)
Ins. Median: $16 (119% 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%
Liberty County Indigent $8 60%
Molina Healthcare $8 - $29 60%
Texas Childrens Health Plans $8 - $369 60%
Texas Health Network $8 60%
United $8 - $813 60%
Humana $10 - $179 75%
Blue Cross Blue Shield $13 - $632 97%
Cigna $13 - $72 97%
Devoted Health $13 97%
Geo Group - Joe Corley Detention Facility $13 97%
Kelsey Seybold $13 97%
Oscar $13 - $39 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 - $108 105%
Van Lang Ipa $14 105%
Wellcare $14 105%
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%
Tx Workforce Commission $434 3241%
Evry Health $493 3682%
Imagine Health $632 4720%
Healthsmart Preferred Care $777 - $1,536 5803%
Averde Health $813 6072%
Fidelis Securecare Of Tx $813 6072%
Coventry National First Health $963 7192%
Physicians Cooperative Of Texas $994 7423%
Rockport Workers Comp $994 7423%
Independent Medical System $1,084 8096%
National Healthcare Solutions $1,084 8096%
Southwest Medical $1,084 8096%
Coastal Comp $1,174 8768%
Multiplan $1,355 - $1,536 10119%
Physicians, Inc $1,536 11471%
Affiliated Ppo $1,626 12143%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 504 Medical Center Blvd, Conroe, TX 77304
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals