CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: HCA Houston Healthcare Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $14
  • Cash Discount Price: $1,565
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at HCA Houston Healthcare Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,565. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 1313 Hermann Dr, Houston, TX.
Cash / Self-Pay
$1,565

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: $1,565 (11688%)
Insurance Median: $14 (105%)
Cash: $1,565 (11688% 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.

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
Superior Health Plan $3 - $113 22%
Aetna $8 - $88 60%
Community Health Choice Mcd $8 60%
Molina Healthcare $8 - $29 60%
United $8 - $844 60%
Humana $10 - $179 75%
Blue Cross Blue Shield $13 - $656 97%
Cigna $13 - $72 97%
Devoted Health $13 97%
Oscar $13 - $39 97%
Triwest Healthcare Alliance $13 97%
Wellmed $13 97%
American Health Plan $14 105%
Christus (Usfhp) $14 105%
Evry Health $14 - $512 105%
Integranet Amerigroup Ipa $14 105%
Procare Advantage $14 105%
Provider Partners Health Plan Of Texas $14 105%
Shared Health $14 105%
Triwest Health Alliance $14 105%
Van Lang Ipa $14 105%
Wellcare $14 105%
Molina $15 112%
Verda Health Plan $17 127%
Community Health Choice $19 142%
Superior $19 - $21 142%
Coventry National First Health $28 - $1,000 209%
Healthcare Highways $40 299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1313 Hermann Dr, Houston, TX 77004
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals