CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Hill Country Memorial Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $14
Cash Discount Price: $1,526
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Hill Country Memorial Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,526. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 1020 South State Highway 16, Fredericksburg, TX.

Cash / Self-Pay

$1,526

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $1,526 (11397%)

Insurance Median: $14 (105%)

Cash: $1,526 (11397% of Medicare)

Ins. Median: $14 (105% 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.

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
Aetna	$8 - $14	60%
Community First Health Plans	$8 - $412	60%
Molina Healthcare	$8 - $21	60%
United	$8 - $687	60%
Blue Cross Blue Shield	$13 - $450	97%
Gonzaba Medical Group	$13	97%
Ilumed	$13	97%
Triwest	$13	97%
Wellmed	$13	97%
Superior Health	$14 - $76	105%
Triwest Health Alliance	$14	105%
Wellcare	$14	105%
Cigna	$22 - $29	164%
Superior	$22	164%
Healthcare Highways	$31	232%
Healthsmart Preferred Care	$839	6266%
Multiplan	$1,145 - $1,297	8551%

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 $1,526.
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 Hill Country Memorial Hospital 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.