CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Baylor Scott & White Hospital Brenham

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $29
Cash Discount Price: $28
vs. Medicare Baseline: 2.17x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Baylor Scott & White Hospital Brenham is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 2.17x the Medicare baseline. Located in 700 Medical Parkway, Brenham, TX.

Cash / Self-Pay

$28

Average discount available for prompt cash payment at this facility.

Insurance Median

$29

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: $28 (209%)

Insurance Median: $29 (217%)

Cash: $28 (209% of Medicare)

Ins. Median: $29 (217% 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 217% of the Medicare baseline (a markup of 117%). 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
American Health Plan	$5 - $31	37%
Baylor Scott & White Health Plan	$5 - $97	37%
Blue Cross Blue Shield	$5 - $79	37%
Corvel	$5 - $31	37%
Healthspring	$5 - $31	37%
Prime Health Services	$5 - $31	37%
Procare Advantage	$5 - $31	37%
Superior Health Plan	$5 - $31	37%
Triwest	$5 - $29	37%
Careworks Fka Rockport	$6 - $36	45%
Injury Management Organization	$6 - $36	45%
Sedgwick	$6 - $36	45%
UnitedHealthcare	$9	67%
Cigna	$21 - $136	157%
Aetna	$22 - $124	164%
Midcoast	$22 - $124	164%
Quiktrip	$22 - $124	164%
University Of Mary Hardin-Baylor	$23 - $131	172%
Independent Medical System	$24 - $136	179%
Imagine Health	$25 - $142	187%
Curative	$26 - $147	194%
First Health	$28 - $158	209%
Healthsmart	$28 - $170	209%
Humana	$28 - $181	209%
Private Health Care System	$30 - $170	224%
Bluebell Creameries	$36 - $203	269%

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 $28.
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 Baylor Scott & White Hospital Brenham 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.