CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Medical City Arlington

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $20
  • Cash Discount Price: $1,946
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Medical City Arlington is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,946. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.49x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
$1,946

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: $1,946 (14533%)
Insurance Median: $20 (149%)
Cash: $1,946 (14533% 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 - $1,415 60%
Amerigroup $8 - $13 60%
Cigna $8 - $272 60%
Cook Childrens Health Plan $8 60%
Molina $8 - $15 60%
Parkland Community Health Plan $8 60%
Texas Health Network $8 60%
United $8 - $366 60%
Humana $10 - $149 75%
Blue Cross Blue Shield $13 - $864 97%
Devoted Health $13 97%
Mutual Of Omaha $13 97%
Triwest Veterans $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 - $136 105%
Texas Independent Health Plan $14 105%
Wellcare $14 105%
Imperial Insurance Company $15 112%
Triwest Health Alliance $15 112%
Universal Healthcare Group $16 119%
Verda Health Plan $17 127%
Bravo Health $20 149%
Superior $24 - $30 179%
Usa Managed Care $25 - $1,557 187%
Corvel Corporation $27 202%
Molina Healthcare $35 261%
Oscar $35 261%
Unicare $370 - $1,946 2763%
Healthcare Highways $477 - $658 3562%
Evry Health $502 3749%
City Of Mckinney $876 6542%
Fidelis Securecare $876 6542%
Global Sports Services $973 7267%
National Choicecare $973 7267%
Pc Texas Partners $1,070 7991%
Physicians Coop Of Tx $1,070 7991%
Rockport Health Group $1,070 7991%
Averde Health, Inc $1,129 8432%
Coastal Comp Health Networks $1,362 10172%
Mega Life $1,362 10172%
Multiplan Phcs $1,362 10172%
Healthsmart Preferred Care $1,382 10321%
Lewisville Isd/Dls Consulting $1,460 10904%
Usc Health Services $1,557 11628%
Galaxy Health Network $1,654 12353%
Texas Instruments $1,752 13084%
Independent Medical Systems $1,946 14533%
National Healthcare Solutions $1,946 14533%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Matlock Road, Arlington, TX 76015
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals