CMS Price Transparency Data

Blood test, liver function panel

Facility: USA Health Children's & Women's Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $94
Cash Discount Price: $300
vs. Medicare Baseline: 11.51x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at USA Health Children's & Women's Hospital is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $300. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 11.51x the Medicare baseline. Located in 1700 Center Street, Mobile, AL.

Cash / Self-Pay

$300

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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: $300 (3672%)

Insurance Median: $94 (1151%)

Cash: $300 (3672% of Medicare)

Ins. Median: $94 (1151% 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 1151% of the Medicare baseline (a markup of 1051%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$5 - $222	61%
Magnolia Health	$7	86%
Truecare	$7	86%
Aetna	$8	98%
Blue Cross Blue Shield	$8	98%
Devoted Health	$8 - $288	98%
Humana	$8 - $268	98%
Molina Chip	$8	98%
Viva Health	$8 - $206	98%
Wellcare	$8	98%
Molina Marketplace	$9	110%
Ambetter / Centene	$10	122%
Mississippi Physicians Care Network (Mpcn)	$11	135%
Cigna	$89 - $268	1089%
Central Healthcare Services	$94 - $206	1151%
Multiplan	$122 - $288	1493%
Novanet	$169 - $370	2069%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $300.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm USA Health Children's & Women's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.