CMS Price Transparency Data

Blood test, liver function panel

Facility: The East Alabama Healthcare Authority

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $63
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 7.71x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at The East Alabama Healthcare Authority is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 7.71x the Medicare baseline. Located in 2000 Pepperell Parkway, Opelika, AL.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

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: $63 (771%)
Insurance Median: $63 (771%)
Cash: $63 (771% of Medicare)
Ins. Median: $63 (771% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 771% of the Medicare baseline (a markup of 671%). 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.

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
Aetna $8 - $115 98%
Beechstreet $8 - $98 98%
Blue Cross Blue Shield $8 - $16 98%
Cigna $8 - $16 98%
Humana $8 - $80 98%
Simpra $8 98%
Viva $8 - $19 98%
Novanet $17 208%
Alabama Crime Victims $58 710%
Mcm Maxcare $92 1126%
Mega Life $92 1126%
UnitedHealthcare $92 1126%
Coventry First Health $98 1200%
Geha $98 1200%
Multiplan $98 1200%
Workers Comp $98 1200%
Trpn $104 1273%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Pepperell Parkway, Opelika, AL 36801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals