CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Lake Granbury Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $25
  • Cash Discount Price: $200
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Lake Granbury Medical Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $200. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.87x the Medicare baseline. Located in 1310 Paluxy Rd, Granbury, TX.
Cash / Self-Pay
$200

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $200 (1494%)
Insurance Median: $25 (187%)
Cash: $200 (1494% of Medicare)
Ins. Median: $25 (187% 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 - $611 60%
Healthspring $8 60%
Medicaid / KanCare $8 - $458 60%
UnitedHealthcare $8 - $378 60%
Superior $9 - $37 67%
Blue Cross Blue Shield $13 - $224 97%
Cigna $13 - $351 97%
Hospice Non Par $13 97%
Humana $13 97%
Medicare (plans) $13 97%
Node Care N Care $13 97%
Node Va $13 97%
Triwest $13 97%
Veterans Eval Services $13 97%
American Health $14 105%
Node Amerigroup Mcr Adv $14 105%
Node Champva $14 105%
Provider Partners Health Plan $14 105%
Tricare $14 105%
Node Us Dept Of Labor $17 127%
Node Brookshire Brothers $23 172%
93% Payors Work Comp Tx $25 187%
Node Brookshire Brothers Work Comp Tx $25 187%
Work Comp $27 202%
Self Pay $53 - $98 396%
Amerigroup $127 948%
Healthsmart $490 - $623 3659%
Multiplan $668 - $783 4989%
Santa Fe Hospital Association $712 5317%
Galaxy Health $846 6318%
Medcorp Southwest $846 6318%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1310 Paluxy Rd, Granbury, TX 76048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals