CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Methodist McKinney Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $14
Cash Discount Price: $13
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Methodist McKinney Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.05x the Medicare baseline. Located in 8000 W Eldorado Pkwy Bldg C Suite C, McKinney, TX.

Cash / Self-Pay

$13

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $13 (97%)

Insurance Median: $14 (105%)

Cash: $13 (97% of Medicare)

Ins. Median: $14 (105% 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
Blue Cross Blue Shield	$9 - $14	67%
Aetna	$13 - $49	97%
Medicare (plans)	$13 - $14	97%
UnitedHealthcare	$13 - $14	97%
Ust Health Proof [1005]	$13	97%
Wellcare [7016]	$13	97%
American Health Advantage Of Texas [7099]	$14	105%
Cigna	$14	105%
Globalhealth [1003]	$14	105%
Humana	$14	105%
Procare Advantage [7018]	$14	105%
Provider Partners Health Plan [7025]	$14	105%
Southwestern Health Resources Swhr [7015]	$14	105%
Alternative Service Concepts [8005]	$17	127%
Oscar Insurance Company [2057]	$17	127%
Bright Healthcare [2222]	$19	142%
Molina [3017]	$19	142%
Wellpoint Marketplace Exchange [3071]	$21	157%
90 Degree Benefit [3057]	$22	164%
Allied National [2031]	$22	164%
Entrust/90 Degree [2058]	$22	164%
Ambetter / Centene	$23	172%
Friday Health Plan [2061]	$23	172%
Imperial Insurance Companies [3073]	$24	179%
Evry Health [1013]	$27	202%
Sana Benefits [3069]	$27	202%
Velocity [3070]	$27	202%
Web Tpa [3049]	$44 - $49	329%

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 $13.
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 Methodist McKinney 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.