CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: UT Health East Texas Rehabilitation Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $263
Cash Discount Price: $64
vs. Medicare Baseline: 19.64x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at UT Health East Texas Rehabilitation Hospital is $263. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 19.64x the Medicare baseline. Located in 701 Olympic Plaza Cir, Tyler, TX.

Cash / Self-Pay

$64

Average discount available for prompt cash payment at this facility.

Insurance Median

$263

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: $64 (478%)

Insurance Median: $263 (1964%)

Cash: $64 (478% of Medicare)

Ins. Median: $263 (1964% 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 1964% of the Medicare baseline (a markup of 1864%). 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
Amerigroup Commercial [5055]	$160	1195%
Black Lung [6055]	$160	1195%
Cigna	$160 - $427	1195%
Healthcare Highways [2210]	$160	1195%
Healthscope Benefits [2290]	$160	1195%
Lucent Health [6000]	$160	1195%
Parkland Community Health Plan [6015]	$160	1195%
Web Tpa [2115]	$160 - $263	1195%
Blue Cross Blue Shield	$216 - $326	1613%
Aetna	$263	1964%
Mailhandlers [1595]	$263	1964%
Andrews Center Behavioral Health [3950]	$319	2382%
Healthfirst [2395]	$319	2382%
Group Pension Admin [1450]	$427	3189%
Humana	$427	3189%
Phcs [1780]	$427	3189%
Tml [1980]	$427	3189%

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 $64.
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 UT Health East Texas Rehabilitation Hospital 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.