CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Texas Health Specialty Hospital Forth Worth

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $523
Cash Discount Price: $375
vs. Medicare Baseline: 39.06x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Texas Health Specialty Hospital Forth Worth is $523. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $375. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 39.06x the Medicare baseline. Located in 1301 Pennsylvania Avenue, Fort Worth, TX.

Cash / Self-Pay

$375

Average discount available for prompt cash payment at this facility.

Insurance Median

$523

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: $375 (2801%)

Insurance Median: $523 (3906%)

Cash: $375 (2801% of Medicare)

Ins. Median: $523 (3906% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 3906% of the Medicare baseline (a markup of 3806%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Fort Worth Firefighters	$224 - $245	1673%
City Of Fort Worth	$227 - $248	1695%
Quick Trip	$424 - $464	3167%
Phcs	$500 - $546	3734%
Healthsmart	$502 - $549	3749%
Multiplan	$520 - $568	3883%
Galaxy	$526 - $575	3928%
Usa	$526 - $575	3928%
Cigna	$562 - $614	4197%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $375.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80061.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Texas Health Specialty Hospital Forth Worth is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80061.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.