CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: St Luke's Sugar Land Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $25
Cash Discount Price: $155
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at St Luke's Sugar Land Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.87x the Medicare baseline. Located in 1317 Lake Pointe Parkway, Sugar Land, TX.

Cash / Self-Pay

$155

Average discount available for prompt cash payment at this facility.

Insurance Median

$25

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: $155 (1158%)

Insurance Median: $25 (187%)

Cash: $155 (1158% of Medicare)

Ins. Median: $25 (187% 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.

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
Tchp	$8 - $10	60%
United	$8 - $208	60%
Wellpoint	$8 - $20	60%
Chc	$9 - $244	67%
Renaissance	$10	75%
UnitedHealthcare	$11 - $366	82%
Blue Cross Blue Shield	$12 - $69	90%
Cigna	$13 - $310	97%
Humana	$13 - $288	97%
Selectcare	$13	97%
Aetna	$14 - $301	105%
Amerivantage	$14	105%
Devoted	$14	105%
Scanhealth	$14	105%
Kindred	$15	112%
Kelsey	$17	127%
Kelseycare	$18	134%
Community Health Choice	$20	149%
Superior Health Plan	$20	149%
Bright Health	$22	164%
Nx Health	$44	329%
Tchpchip	$155 - $190	1158%
Texastruechoice	$244	1822%
Coventry	$288	2151%
First Health	$288	2151%
Healthsmart	$310	2315%
Interlink	$310	2315%
Multiplan	$332	2479%
USA Health Network	$377	2816%
Mhealth Network	$443	3308%

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 $155.
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 St Luke's Sugar Land 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.