CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Medical City Lewisville

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $20
  • Cash Discount Price: $1,107
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Medical City Lewisville is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,107. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.49x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$1,107

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $1,107 (8267%)
Insurance Median: $20 (149%)
Cash: $1,107 (8267% of Medicare)
Ins. Median: $20 (149% 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 - $805 60%
Amerigroup $8 - $13 60%
Cigna $8 - $155 60%
Cook Childrens Health Plan $8 60%
Molina $8 - $15 60%
Parkland Community Health Plan $8 60%
Texas Health Network $8 60%
United $8 - $220 60%
Humana $10 - $149 75%
Blue Cross Blue Shield $13 - $492 97%
Devoted Health $13 97%
Mutual Of Omaha $13 97%
Triwest Health Alliance $13 97%
Wellmed $13 97%
American Health Plan Of Texas, Inc. $14 105%
Care N Care $14 105%
Integranet $14 105%
Procare Advantge $14 105%
Provider Partners Health Plan $14 105%
Superior Health Plan $14 - $78 105%
Texas Independent Health Plan $14 105%
Wellcare $14 105%
Imperial Insurance Company $15 112%
Universal Healthcare Group $16 119%
Verda Health Plan $17 127%
Bravo Health $20 149%
Superior $24 - $30 179%
Usa Managed Care $25 - $886 187%
Corvel Corporation $27 202%
Molina Healthcare $35 261%
Oscar $35 261%
Unicare $266 - $1,107 1987%
Healthcare Highways $271 - $374 2024%
Evry Health $286 2136%
City Of Mckinney $498 3719%
Fidelis Securecare $498 3719%
National Choicecare $554 4137%
Pc Texas Partners $609 4548%
Physicians Coop Of Tx $609 4548%
Rockport Health Group $609 4548%
Averde Health, Inc $642 4795%
Usc Health Services $664 4959%
Coastal Comp Health Networks $775 5788%
Jostens $775 5788%
Mega Life $775 5788%
Multiplan Phcs $775 5788%
Healthsmart Preferred Care $830 6199%
Lewisville Isd/Dls Consulting $830 6199%
Galaxy Health Network $941 7028%
Independent Medical Systems $1,107 8267%
National Healthcare Solutions $1,107 8267%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals