CMS Price Transparency Data

Blood test, liver function panel

Facility: Medical Center Enterprise

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $139
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Medical Center Enterprise is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $139. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$139

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: $139 (1701%)
Insurance Median: $8 (98%)
Cash: $139 (1701% 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
Medicaid / KanCare $5 - $6 61%
Bc Pml $7 86%
Node Champva $7 86%
Tricare $7 86%
UnitedHealthcare $7 - $8 86%
Aetna $8 - $501 98%
Al Maternity Waiver Program $8 98%
Blue Cross Blue Shield $8 - $11 98%
Covenant Hospice $8 98%
Dayspring Hospice $8 98%
Eon Health $8 98%
Healthspring $8 98%
Humana $8 98%
Medicare (plans) $8 98%
Node Clover Mcr Adv $8 98%
Node Devoted Health Mcr Adv $8 98%
Node Hospice Non Par $8 98%
Node Va $8 98%
Node Wellcare Mcr Adv $8 98%
Occunet $8 98%
Select Health $8 98%
Southerncare Hospice $8 98%
Veterans Eval Services $8 98%
Wiregrass Hospice $8 98%
Node Us Dept Of Labor $10 122%
Ambetter / Centene $12 147%
Cigna $14 - $75 171%
Self Pay $64 - $215 783%
American Employee Alliance $286 3501%
Alamed $429 5251%
Affordable Health $501 6132%
Health Choice $501 6132%
Novanet Ppo $501 6132%
Coventry Work Comp Al $526 6438%
Multiplan $529 - $565 6475%
Wc Dept Ind Relations $572 7001%
Corvel $608 7442%
Galaxy Health $644 7882%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals