CMS Price Transparency Data

Blood test, liver function panel

Facility: Gadsden Regional Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $216
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Gadsden Regional Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $216. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$216

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $216 (2644%)
Insurance Median: $9 (110%)
Cash: $216 (2644% of Medicare)
Ins. Median: $9 (110% 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
Medicaid / KanCare $6 73%
Bc Pml $7 86%
Node Champva $7 86%
Tricare $7 86%
UnitedHealthcare $7 - $8 86%
Aetna $8 - $745 98%
Amedisys Hospice $8 98%
Blue Cross Blue Shield $8 98%
Cigna $8 - $51 98%
Gadsden Hospice $8 98%
Humana $8 98%
Medicare (plans) $8 98%
Node Clover Health Mcr Adv $8 98%
Node Devoted Health Mcr Adv $8 98%
Node Eon Mcr Adv $8 98%
Node Non Par Hospice Agree $8 98%
Node Select Health Mcr Adv $8 98%
Node Va $8 98%
Node Viva Mcr Adv $8 98%
Node Wellcare Mcr Adv $8 98%
Southern Care Hospice $8 98%
Veterans Eval Services $8 98%
Prime Health $9 - $1,039 110%
Node Us Dept Of Labor $10 122%
Ambetter / Centene $12 147%
Self Pay $173 - $259 2118%
American Employee Alliance $575 7038%
Multiplan $805 - $906 9853%
Magellan Behavioral $863 10563%
Viva Healthcare $863 10563%
First Health $1,007 - $1,161 12326%
Beech Street $1,050 - $1,525 12852%
Alamed Wc $1,078 13195%
Focus Health $1,100 13464%
Coventry Work Comp Al $1,124 13758%
Work Comp $1,222 14957%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals