CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $13
  • Cash Discount Price: $910
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Southern Hills Hospital and Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $910. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 0.97x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.
Cash / Self-Pay
$910

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $910 (6796%)
Insurance Median: $13 (97%)
Cash: $910 (6796% of Medicare)
Ins. Median: $13 (97% 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
Aetna $2 - $22 15%
Community Care Health $9 67%
Sierra Hpn $9 67%
Molina Healthcare $9 - $10 67%
Caresource $10 75%
Ambetter / Centene $10 - $14 75%
Blue Cross Blue Shield $13 - $17 97%
Health Net $13 97%
Alignment Health Plan $13 97%
United $13 - $201 97%
Sierra $13 97%
Triwest $13 97%
Hometown Health McR $13 97%
Select Health $13 - $212 97%
Humana $13 97%
Health Services Coalition $14 105%
Caremore $14 105%
Imperial Nv $15 112%
Universal Healthcare $16 119%
Cigna $17 - $35 127%
Legacy Provider Network $40 299%
Corvel $42 - $45 314%
Olympus Medsave USA $44 - $690 329%
Prominence Healthfirst $276 2061%
Cmn Global $386 2883%
Evernorth $460 3435%
Hometown Health Providers $460 3435%
Nv Health & Welfare Trust $552 4122%
Multiplan $580 - $672 4332%
First Health $607 - $736 4533%
Medcare International $690 5153%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 West Sunset Rd, Las Vegas, NV 89148
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals