CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Cook Childrens Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $48
Cash Discount Price: $217
vs. Medicare Baseline: 3.58x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Cook Childrens Medical Center is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 3.58x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.

Cash / Self-Pay

$217

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $217 (1621%)

Insurance Median: $48 (358%)

Cash: $217 (1621% of Medicare)

Ins. Median: $48 (358% 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 358% of the Medicare baseline (a markup of 258%). 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
Health Plan W. Uhrip	$11 - $197	82%
Aetna	$13 - $440	97%
Beacon	$13 - $124	97%
El Paso Health First	$13	97%
Health Plan W/O Uhrip	$13 - $124	97%
Tx Children Health	$13	97%
Blue Cross Blue Shield	$14 - $466	105%
Superior Health	$14	105%
Wellpoint	$14	105%
Firstcare	$15 - $414	112%
Molina	$15	112%
Rightcare	$15 - $173	112%
United Community	$15	112%
UnitedHealthcare	$27 - $440	202%
S&W Health	$52 - $435	388%
Cigna	$53 - $440	396%
Healthscope	$53 - $440	396%
Imagine Health	$53 - $440	396%
Humana	$54 - $456	403%
Multiplan	$54 - $450	403%
First Health	$55 - $456	411%
Galaxy Health	$56 - $466	418%
Healthsmart	$56 - $466	418%
Usamco	$57 - $476	426%

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 $217.
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 Cook Childrens Medical Center 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.