CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Shannon Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $57
Cash Discount Price: $252
vs. Medicare Baseline: 4.26x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Shannon Medical Center is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $252. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 4.26x the Medicare baseline. Located in 120 E Harris Ave., San Angelo, TX.

Cash / Self-Pay

$252

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $252 (1882%)

Insurance Median: $57 (426%)

Cash: $252 (1882% of Medicare)

Ins. Median: $57 (426% 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 426% of the Medicare baseline (a markup of 326%). 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
Care Improvement	$13	97%
Humana	$13 - $402	97%
Wellmed	$13	97%
Molina Healthcare - Chip	$14	105%
Wellpoint	$15 - $18	112%
Cigna	$21	157%
Scott & White	$21	157%
Insurance Management Services	$22	164%
Insurance Services Of Lubbock	$22	164%
Kempton Group	$27	202%
Pdh/Texas Trust	$27	202%
Ambetter / Centene	$29	217%
90 Degree Benefits	$33	246%
Caprock	$33	246%
Blue Cross Blue Shield	$43 - $377	321%
City Of San Angelo	$70	523%
Web Tpa	$226	1688%
Aetna	$332	2479%
Assurant Health	$332	2479%
First Health	$377	2816%
UnitedHealthcare	$392	2928%
Healthsmart	$448	3346%

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 $252.
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 Shannon Medical Center 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.