CMS Price Transparency Data

Blood test, liver function panel

Facility: Flowers Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $13
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Flowers Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.59x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$65

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $65 (796%)
Insurance Median: $13 (159%)
Cash: $65 (796% of Medicare)
Ins. Median: $13 (159% 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%
Alabama Rehab $6 73%
Bc Pml $7 86%
Node Champva $7 86%
Tricare $7 86%
UnitedHealthcare $7 - $8 86%
Aetna $8 - $210 98%
Blue Cross Blue Shield $8 - $12 98%
Care Improvement Plus $8 98%
Cigna $8 - $13 98%
Compassionate Hands $8 98%
Covenant Hospice $8 98%
Dayspring Hospice $8 98%
Eon Health Care $8 98%
Humana $8 98%
Medicare (plans) $8 98%
Node Clover Health Mcr Adv $8 98%
Node Devoted Health Mcr Adv $8 98%
Node Hospice Non Par $8 98%
Node Va $8 98%
Node Viva Mcr Adv $8 98%
Node Wellcare Mcr Adv $8 98%
Occunet $8 98%
Select Health $8 98%
Southern Care Hospice $8 98%
Veterans Eval Services $8 98%
Vistacare Hospice $8 98%
Wiregrass Hospice $8 98%
Prime Health $9 - $203 110%
Node Us Dept Of Labor $10 122%
Ambetter / Centene $12 147%
Self Pay $43 - $86 526%
S & S Healthcare $72 881%
Choicecare Commercial $101 1236%
American Employee Alliance $115 1408%
Coventry Healthcare $144 - $220 1763%
Viva Health $173 2118%
Multiplan $187 - $230 2289%
Standard Textile $202 2472%
Alamed Wc $203 2485%
Health Choice $210 2570%
Equian $216 - $227 2644%
Qhp $216 2644%
Novanet $230 2815%
Alabama Work Comp $239 2925%
Ccn/Mednet Ppo $245 2999%
Corvel $245 2999%
Industry Buying Group $245 2999%
Galaxy Health $259 3170%
Health Payors Org $259 3170%
National Provider Net $259 3170%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals