Blood test, liver function panel
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $33
- Cash Discount Price: $26
- vs. Medicare Baseline: 4.04x 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 404% of the Medicare baseline (a markup of 304%). 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 |
|---|---|---|
| Geha | $8 | 98% |
| UnitedHealthcare | $8 | 98% |
| Cigna | $8 - $11 | 98% |
| Harvard Pilgrim Healthcare | $8 | 98% |
| Blue Cross Blue Shield | $8 - $34 | 98% |
| Medicare (plans) | $8 | 98% |
| Aetna | $8 - $11 | 98% |
| Cca Senior Care Options | $8 | 98% |
| Magnacare | $11 | 135% |
| Meritain | $11 | 135% |
| Allegiance | $11 | 135% |
| 1199 National Benefit Fund | $11 | 135% |
| Health Partners | $11 | 135% |
| Allied Benefit Systems | $11 | 135% |
| Nippon Life Ins | $11 | 135% |
| Gravie Admin Services | $11 | 135% |
| Hap | $11 | 135% |
| Webtpa | $11 | 135% |
| Luminare Health | $11 | 135% |
| Diversified Administrators | $17 | 208% |
| Innovative Health Plan II | $17 | 208% |
| Claimdoc | $17 | 208% |
| Connecticut Dept of Correction | $21 | 257% |
| Health New England | $25 | 306% |
| International Benefit Administrators | $33 | 404% |
| Family Life Insurance Company | $33 | 404% |
| Ghc Scw | $33 | 404% |
| PHCS | $33 | 404% |
| Lifetime Benefit Solutions | $33 | 404% |
| Mvp | $33 | 404% |
| Asrm - Reliance Standard Life Insurance | $33 | 404% |
| Trinity Health Share | $33 | 404% |
| Allied National Global Care | $33 | 404% |
| Dean Health | $33 | 404% |
| Christian Care Ministry | $33 | 404% |
| Medi Share | $33 | 404% |
| Pai | $33 | 404% |
| Paramount HMO | $33 | 404% |
| Manhattan Life | $33 | 404% |
| Pan-American Life | $33 | 404% |
| Multiplan | $33 | 404% |
| Unicare | $34 | 416% |
| Blue Benefit Administrators of Massachusetts | $34 | 416% |
| Health Choices | $34 | 416% |
| Blue Shield - Ny Highmark Western | $34 | 416% |
| Bcn Domestic | $34 | 416% |
| Pre-Employment | $34 | 416% |
| Kaiser Domestic | $34 | 416% |
| Blue Shield - Id (Regence) | $34 | 416% |
| Wc Domestic | $34 | 416% |
| Blue Shield - Ca | $34 | 416% |
| Blue Shield - PA (Highmark) | $34 | 416% |
| Blue Care Network | $34 | 416% |
| Blue Distinction Transplant | $34 | 416% |
| Blue Shield - Ny Highmark Northeastern | $34 | 416% |
| Blue Shield - Wa (Regence) | $34 | 416% |
| Prime Health Services | $38 | 465% |
| Connecticare | $39 - $43 | 477% |
| Health Smart | $41 | 502% |