Blood test, liver function panel
Facility: Johnson Memorial Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $17
- Cash Discount Price: $26
- vs. Medicare Baseline: 2.08x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $8.17 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 208% of the Medicare baseline (a markup of 108%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $8 - $48 | 98% |
| Geha | $8 | 98% |
| Medicare (plans) | $8 | 98% |
| Harvard Pilgrim Healthcare | $8 | 98% |
| Blue Cross Blue Shield | $8 - $17 | 98% |
| Cigna | $8 - $47 | 98% |
| Cca Senior Care Options | $8 | 98% |
| Aetna | $8 - $17 | 98% |
| Centivo | $10 | 122% |
| Fallon Health | $11 | 135% |
| Connecticare | $14 - $15 | 171% |
| Connecticut Dept of Correction | $16 | 196% |
| Blue Shield - Ny Highmark Western | $17 | 208% |
| Innovative Health Plan II | $17 | 208% |
| Health Choices | $17 | 208% |
| Bcn Domestic | $17 | 208% |
| Blue Shield - Ny Highmark Northeastern | $17 | 208% |
| Claimdoc | $17 | 208% |
| 1199 National Benefit Fund | $17 | 208% |
| Blue Shield - Id (Regence) | $17 | 208% |
| Webtpa | $17 | 208% |
| Nippon Life Ins | $17 | 208% |
| Allied Benefit Systems | $17 | 208% |
| Blue Shield - Ca | $17 | 208% |
| Wc Domestic | $17 | 208% |
| Luminare Health | $17 | 208% |
| Unicare | $17 | 208% |
| Diversified Administrators | $17 | 208% |
| Blue Shield - Wa (Regence) | $17 | 208% |
| Blue Benefit Administrators of Massachusetts | $17 | 208% |
| Blue Distinction Transplant | $17 | 208% |
| Pre-Employment | $17 | 208% |
| Wellpoint | $17 | 208% |
| Gravie Admin Services | $17 | 208% |
| Meritain | $17 | 208% |
| Blue Care Network | $17 | 208% |
| Hap | $17 | 208% |
| Kaiser Domestic | $17 | 208% |
| Blue Shield - PA (Highmark) | $17 | 208% |
| Health New England | $31 | 379% |
| Prime Health Services | $38 | 465% |
| Paramount HMO | $40 | 490% |
| Pan-American Life | $40 | 490% |
| Trinity Health Share | $40 | 490% |
| Christian Care Ministry | $40 | 490% |
| Dean Health | $40 | 490% |
| Mvp | $40 | 490% |
| Medi Share | $40 | 490% |
| Allied National Global Care | $40 | 490% |
| Ghc Scw | $40 | 490% |
| International Benefit Administrators | $40 | 490% |
| Manhattan Life | $40 | 490% |
| Family Life Insurance Company | $40 | 490% |
| Pai | $40 | 490% |
| PHCS | $40 | 490% |
| Lifetime Benefit Solutions | $40 | 490% |
| Asrm - Reliance Standard Life Insurance | $40 | 490% |
| Multiplan | $40 | 490% |
| Health Smart | $41 | 502% |
| Allegiance | $47 | 575% |
| Health Partners | $47 | 575% |
| Magnacare | $47 | 575% |
| United Behavioral Health Eap | $48 | 588% |