CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Medical Center of McKinney

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $20
  • Cash Discount Price: $499
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Medical Center of McKinney is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $499. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.49x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$499

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $499 (3727%)
Insurance Median: $20 (149%)
Cash: $499 (3727% of Medicare)
Ins. Median: $20 (149% 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 - $363 60%
Amerigroup $8 - $13 60%
Cigna $8 - $399 60%
Molina $8 - $15 60%
Parkland Community Health Plan $8 60%
United $8 - $93 60%
Humana $10 - $324 75%
Blue Cross Blue Shield $13 - $221 97%
Devoted Health $13 97%
Mutual Of Omaha $13 97%
Triwest Veterans $13 97%
Wellmed $13 97%
American Health Plan Of Texas, Inc. $14 105%
Care N Care $14 105%
Integranet $14 105%
Procare Advantge $14 105%
Provider Partners Health Plan $14 105%
Superior Health Plan $14 - $35 105%
Texas Independent Health Plan $14 105%
Wellcare $14 105%
Cenpatico $15 112%
Imperial Insurance Company $15 112%
Universal Healthcare Group $16 119%
Verda Health Plan $17 127%
Bravo Health $20 149%
Superior $24 - $30 179%
Usa Managed Care $25 - $399 187%
Corvel Corporation $27 202%
Molina Healthcare $35 261%
Oscar $35 261%
Healthcare Highways $122 - $169 911%
Evry Health $129 963%
Unicare $130 - $499 971%
City Of Mckinney $175 1307%
Fidelis Securecare $224 1673%
National Choicecare $249 1860%
Pc Texas Partners $274 2046%
Physicians Coop Of Tx $274 2046%
Rockport Health Group $274 2046%
Averde Health, Inc $289 2158%
Magellan Bh $299 2233%
Value Options Behavioral Health $299 2233%
Coastal Comp Health Networks $349 2606%
Mega Life $349 2606%
Multiplan Phcs $349 2606%
Lewisville Isd/Dls Consulting $374 2793%
Compsych Corporation $399 2980%
Healthsmart Preferred Care $399 2980%
Galaxy Health Network $424 3167%
Independent Medical Systems $499 3727%
National Healthcare Solutions $499 3727%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals