CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $18
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at CHI St Lukes Health Memorial San Augustine is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.34x the Medicare baseline. Located in 511 Hospital St, San Augustine, TX.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $4 (30%)
Insurance Median: $18 (134%)
Cash: $4 (30% of Medicare)
Ins. Median: $18 (134% 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.

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
United $3 - $682 22%
Aetna $4 - $171 30%
Tchp $8 60%
Humana $10 - $478 75%
Multiplan $10 - $478 75%
PHCS $10 - $546 75%
Blue Cross Blue Shield $14 - $54 105%
Cigna $14 - $58 105%
Galaxy $14 - $614 105%
Scanhealth $14 105%
Wellpoint $14 - $29 105%
Md Save $17 127%
Superior $18 - $29 134%
Entrust $35 261%
Angelina County $37 276%
Brookshire Brothers $40 299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 511 Hospital St, San Augustine, TX 75972
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital