CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Navarro Regional Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $24
  • Cash Discount Price: $258
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Navarro Regional Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $258. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.79x the Medicare baseline. Located in 3201 West Highway 22, Corsicana, TX.
Cash / Self-Pay
$258

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $258 (1927%)
Insurance Median: $24 (179%)
Cash: $258 (1927% of Medicare)
Ins. Median: $24 (179% 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 - $552 60%
Amerigroup $8 60%
Medicaid / KanCare $8 - $24 60%
Molina $8 - $21 60%
Parkland $8 60%
UnitedHealthcare $8 - $388 60%
Humana $13 97%
Medicare (plans) $13 97%
Node Hospice Non Par Agree $13 97%
Node Va $13 97%
Triwest $13 97%
Veterans Eval Services $13 97%
Node Amerigroup Mcr Adv $14 105%
Node Champva $14 105%
Provider Partners Health Plan $14 105%
Superior $14 - $23 105%
Tricare $14 105%
Node Us Dept Of Labor $17 127%
Blue Cross Blue Shield $19 - $550 142%
Brookshire Brothers $23 172%
Citizens National $23 172%
Parkland Community Health Plan $23 172%
Healthsmart $25 - $611 187%
Node Brookshire Brothers Work Comp Tx $25 187%
Usa Managed Care Org $25 187%
Cigna $27 - $493 202%
Work Comp $27 202%
Self Pay $61 - $148 456%
Multiplan $716 - $829 5347%
Health Headquarters $742 5541%
Unicare $786 5870%
Usa Group Health $786 5870%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3201 West Highway 22, Corsicana, TX 75110
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals