CMS Price Transparency Data

Blood test, liver function panel

Facility: Sisters of Charity Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Sisters of Charity Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 2157 Main Street, Buffalo, NY.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $7 (86%)
Insurance Median: $8 (98%)
Cash: $7 (86% of Medicare)
Ins. Median: $8 (98% 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
Independent Health [100165] $6 - $8 73%
Iha First Choice [800001] $6 73%
Excellus Rochester McD [350117] $7 86%
Medicaid / KanCare $7 - $8 86%
Tuscarora Nation [550120] $7 86%
Amerigroup [350102] $7 86%
Beacon Essential [350122] $7 86%
UnitedHealthcare $7 - $9 86%
Univera Healthcare Essential [100170] $7 - $9 86%
Crime Victims [100176] $7 86%
Independent Health Essential [100166] $7 86%
Blue Cross Blue Shield $7 - $16 86%
VA Veterans Affairs [700001] $8 98%
Univera Healthcare [100169] $8 - $12 98%
Hospice [550001] $8 98%
Wellcare Fidelis Dual [450451] $8 98%
Seneca Nation [450119] $8 98%
Cigna $8 - $10 98%
Covid19 Hrsa [45013] $8 98%
Fallon Health [450115] $8 98%
Federal Workers Compensation [500100] $8 98%
Medicare (plans) $8 - $9 98%
Fidelis Dual Advantage [450120] $8 98%
Champ VA [700002] $8 98%
Tricare $8 98%
Catholic Health Life Pace [400005] $8 98%
Humana $9 110%
Wellcare [450129] $9 110%
Aetna $9 110%
Fidelis Exchange [100164] $12 147%
Workers Compensation [500101] $13 159%
No Fault [114001] $13 159%
Molina Essential [100167] $16 196%
Fidelis Essential [100163] $16 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2157 Main Street, Buffalo, NY 14214
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals