Blood test, liver function panel
Facility: Ohio Valley Surgical Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $11,885
- Cash Discount Price: $53
- vs. Medicare Baseline: 1454.71x 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 145471% of the Medicare baseline (a markup of 145371%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $2 - $40,293 | 24% |
| UnitedHealthcare | $10 - $17,571 | 122% |
| Pacific Source | $11 - $20,896 | 135% |
| Meritain Heatlh | $11 - $20,896 | 135% |
| Mhbp | $11 - $20,896 | 135% |
| Genworth | $11 - $20,896 | 135% |
| Aetna | $11 - $20,896 | 135% |
| Mail Handlers | $11 - $20,896 | 135% |
| Geha | $11 - $20,896 | 135% |
| Ngs Coresource | $11 - $20,896 | 135% |
| Meritain | $11 - $20,896 | 135% |
| Nippon Life | $11 - $20,896 | 135% |
| Personify Health | $11 - $20,896 | 135% |
| Mmoh | $40 - $11,885 | 490% |
| Mmo Cin. HMO | $41 - $56 | 502% |
| Mmoh (Supermed) | $41 | 502% |
| Medicare (plans) | $53 - $12,264 | 649% |
| Preferred Health | $80 | 979% |
| Medben | $80 | 979% |
| Luminare Health | $80 | 979% |
| Ohio Health | $80 | 979% |
| Medicaid / KanCare | $3,557 - $17,827 | 43537% |
| Amerihealth Caritas of Ohio | $3,657 | 44761% |
| Buckeye Community Health Plan | $4,022 | 49229% |
| Molina McD | $4,084 | 49988% |
| Caresource | $4,364 - $17,827 | 53415% |
| Humana | $4,493 - $11,919 | 54994% |
| Prosperity Supplement | $11,885 | 145471% |
| American Continental Insurance | $11,885 | 145471% |
| American Republic | $11,885 | 145471% |
| American Continental Life | $11,885 | 145471% |
| Molina McR+McD | $11,885 | 145471% |
| Wraparound Pl Supp | $11,885 | 145471% |
| Molina Marketplace | $11,885 | 145471% |
| Aarp | $11,885 | 145471% |
| Aultcare Primetime Health Plan | $11,885 | 145471% |
| Gateway Health Plan | $11,885 | 145471% |
| Bankers Life and Casualty | $11,885 | 145471% |
| Communicare Advantage | $11,885 | 145471% |
| Medigold | $11,885 | 145471% |
| Molina | $11,885 | 145471% |
| Molina McR McD | $11,885 | 145471% |
| Aarp Supplemental | $11,885 | 145471% |
| Champus | $11,885 | 145471% |
| Patient No Pay | $11,885 | 145471% |
| Everest | $11,885 | 145471% |
| Molina Dual McR | $11,885 | 145471% |
| Cigna | $11,885 - $18,817 | 145471% |
| Molina Dual McR | $11,885 | 145471% |
| Self Pay Imaging | $11,885 | 145471% |
| Bankers Fidelity | $11,885 | 145471% |
| Central States | $11,885 | 145471% |
| Wellcare By Allwell | $11,885 | 145471% |
| American Retirement | $11,885 | 145471% |
| Molina McR | $11,885 | 145471% |
| The Health Plan | $12,479 | 152742% |
| Devoted Health | $13,707 | 167772% |
| Employer Direct | $15,703 | 192203% |
| Shl | $17,571 | 215067% |
| Surest | $17,571 | 215067% |
| Oxford | $17,571 | 215067% |
| Ushealth | $17,571 | 215067% |
| Medica | $17,571 | 215067% |
| Golden Rule | $17,571 | 215067% |
| Caresourse | $17,827 | 218201% |
| Samba | $18,817 | 230318% |
| Nalc | $18,817 | 230318% |
| Healthgram | $18,817 | 230318% |
| Unified Group | $18,817 | 230318% |
| Sbma | $18,817 | 230318% |