CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Freestone Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $13
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Freestone Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 0.97x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $14 (105%)
Insurance Median: $13 (97%)
Cash: $14 (105% of Medicare)
Ins. Median: $13 (97% 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
Blue Cross Blue Shield $2 - $102 15%
Mcaid $3 - $24 22%
Misc Mcaid Hmo $3 - $34 22%
Superior Health Chip $3 - $24 22%
Tx Childrens Mcaid $3 - $24 22%
UnitedHealthcare $3 - $34 22%
Amerigroup $4 - $34 30%
Medicaid / KanCare $4 - $52 30%
Rightcare S&W Mcaid $4 - $34 30%
Superior Health Mcd $4 - $52 30%
Gilsbar $7 - $114 52%
Cigna $8 - $68 60%
Misc Multiplan $10 - $79 75%
Misc Multiplan Auto $10 - $79 75%
Misc Multiplan Workcomp $10 - $79 75%
Self Pay Gt 083123 $10 - $79 75%
Self Pay Lt 090123 $10 - $79 75%
Aarp $11 82%
Aetna $11 - $91 82%
Apwu $11 82%
Fringe Benefits $11 82%
Geha $11 82%
Uhcss $11 82%
Aarp Mcare /Wellmed $13 97%
Allwell Superior Hlth $13 97%
Ambetter / Centene $13 97%
Care Improvement Plus $13 97%
Champva $13 97%
Humana $13 - $114 97%
Medicare (plans) $13 97%
Misc Mcare Replacement $13 97%
Pphp Prov Part Hlth Plan $13 97%
Scott & White Senior Care $13 97%
Superior Hlth Mcare Repl $13 97%
Tricare $13 97%
Triwest $13 97%
Triwest Va Ccn Claims $13 97%
Utmb Corr Mgd Care $13 97%
Va Vha Office Comm Care $13 97%
Veteran'S Administration $13 97%
Wellmed $13 97%
Aflac $14 - $114 105%
Bankers Life $14 - $114 105%
Fairview Nursing Home $14 - $114 105%
Icare $14 - $114 105%
Inmate Freestone Co $14 - $114 105%
Misc Hospice $14 - $114 105%
Miscellaneous $14 - $114 105%
Miscellaneous Auto $14 - $114 105%
Mutual Of Omaha $14 - $114 105%
North American Med Empl $14 - $114 105%
Standard Life Insurance $14 - $114 105%
Tml $14 - $114 105%
Zelis Healthcare $14 - $114 105%
Scott & White Commercial $16 119%
Scott & White Employees $16 119%
Workers Compensation $27 202%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 125 Newman St, Fairfield, TX 75840
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals