CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: HCA Houston Healthcare West

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $16
  • Cash Discount Price: $1,045
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at HCA Houston Healthcare West is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,045. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.19x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$1,045

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $1,045 (7804%)
Insurance Median: $16 (119%)
Cash: $1,045 (7804% of Medicare)
Ins. Median: $16 (119% 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 - $88 60%
Amerigroup $8 - $13 60%
Community Health Choice Mcd $8 60%
Molina Healthcare $8 - $29 60%
Texas Childrens Health Plans $8 - $173 60%
Texas Health Network $8 60%
United $8 - $470 60%
Humana $10 - $179 75%
Blue Cross Blue Shield $13 - $366 97%
Chc Harris Health $13 97%
Cigna $13 - $836 97%
Devoted Health $13 97%
Kelsey Seybold $13 97%
Oscar $13 - $39 97%
Renaissance Ipa Radiology $13 97%
Triwest Healthcare Alliance $13 97%
Wellmed $13 97%
American Health Plan $14 105%
Christus (Usfhp) $14 105%
Integranet Amerigroup Ipa $14 105%
Procare Advantage $14 105%
Provider Partners Health Plan Of Texas $14 105%
Shared Health $14 105%
Superior Health Plan $14 - $63 105%
Triwest Health Alliance $14 105%
Van Lang Ipa $14 105%
Wellcare $14 105%
Molina $15 112%
Universal Healthcare Group $16 119%
Verda Health Plan $17 127%
Community Health Choice $19 142%
Superior $19 - $21 142%
Corvel Corporation $27 202%
Omni Healthcare $28 209%
Healthcare Highways $40 299%
Texas Workforce Commission $251 1875%
Evry Health $285 2128%
Imagine Health $366 2733%
Healthsmart Preferred Care $449 - $888 3353%
Averde Health $470 3510%
Fidelis Securecare Of Tx $470 3510%
Coventry National First Health $557 4160%
Physicians Cooperative Of Texas $575 4294%
Rockport Workers Comp $575 4294%
Independent Medical System $627 4683%
National Healthcare Solutions $627 4683%
Southwest Medical $627 4683%
Triumph $627 4683%
Coastal Comp $679 5071%
Multiplan $784 - $888 5855%
Physicians, Inc $888 6632%
Affiliated Ppo $940 7020%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals