CMS Price Transparency Data

Blood test, liver function panel

Facility: Kona Community Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $10
  • Cash Discount Price: $87
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Kona Community Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.22x the Medicare baseline. Located in 79-1019 Haukapila Street, Kealakekua, HI.
Cash / Self-Pay
$87

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)
Cash / Self-Pay: $87 (1065%)
Insurance Median: $10 (122%)
Cash: $87 (1065% of Medicare)
Ins. Median: $10 (122% of 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.

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
Kaiser $8 98%
Ohana Health Plan $8 - $11 98%
Hawaii Medical Service Association $8 - $12 98%
Hawaii Western Management Group $8 - $17 98%
Alohacare $8 - $11 98%
Kaiser Permanente $8 - $89 98%
Humana $8 98%
Ohana $8 - $9 98%
Hmsa $8 - $19 98%
UnitedHealthcare $8 - $11 98%
Devoted Health $9 110%
Health Management Network $14 - $120 171%
Hma $20 245%
Uha $21 257%
University Health Alliance $21 257%
Hmaa $23 282%
Mdx Hawaii $137 1677%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 79-1019 Haukapila Street, Kealakekua, HI 96750
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals