CMS Price Transparency Data

Blood test, liver function panel

Facility: Mercy Hospital Paris

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $41
Cash Discount Price: $89
vs. Medicare Baseline: 5.02x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Mercy Hospital Paris is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 5.02x the Medicare baseline. Located in 500 East Academy, Paris, AR.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

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: $89 (1089%)

Insurance Median: $41 (502%)

Cash: $89 (1089% of Medicare)

Ins. Median: $41 (502% 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 502% of the Medicare baseline (a markup of 402%). 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
Medicaid / KanCare	$7 - $54	86%
United Medical Resources Contracted [320454]	$8	98%
UnitedHealthcare	$8 - $39	98%
Summit Community Care Contracted [320368]	$12	147%
Summit Community Care [20368]	$12	147%
Blue Cross Blue Shield	$13 - $39	159%
Usable Contracted [320409]	$13	159%
Novasys Contracted [320285]	$20 - $54	245%
Arkansas Total Care Contracted [320039]	$26	318%
Arkansas Total Care [20039]	$26	318%
Qual Choice Contracted [320324]	$36	441%
Aetna	$39 - $89	477%
American Health Advantage Of Mo Mcr [20264]	$39	477%
Cherokee Nation Health Serv Contracted [320066]	$39	477%
Cross Timbers Hospice [20098]	$39	477%
Dept Of Veteran Affairs Contracted [320106]	$39	477%
Elara Caring Aspire Hospice Contracted [320433]	$39	477%
Elara Caring Aspire Hospice [20433]	$39	477%
Globalhealth Contracted [320145]	$39	477%
Halo Hcr Inc Hospice Contracted [320432]	$39	477%
Halo Hcr Inc Hospice [20432]	$39	477%
Humana	$39 - $116	477%
Indian Health Service Contracted [320198]	$39	477%
Indian Health Service [20198]	$39	477%
Jordan Valley Senior Care Pace [20515]	$39	477%
Kindful Hospice Contracted [320434]	$39	477%
Kindful Hospice [20434]	$39	477%
Medicare (plans)	$39 - $41	477%
Mercy Hospice Okc [20252]	$39	477%
Pace Of The Ozarks [20518]	$39	477%
Provider Partners Health Plans Contracted [320450]	$39	477%
Qual Choice Contracted [320325]	$39	477%
Spina Bifida Hlthcare Benefit [20506]	$39	477%
Tricare	$39	477%
Valir Pace [20503]	$39	477%
Cigna	$41 - $116	502%
Ambetter / Centene	$54	661%
Home State Health Plan Contracted [320187]	$54	661%
Mercy Interfacility [20513]	$58	710%
Auxiant Contracted [320462]	$82 - $123	1004%
Mercy Benefit Admin Contracted [320251]	$82 - $123	1004%
Workers Comp [20426]	$89	1089%
90 Degree Benefits Contracted [320436]	$116	1420%
Aither Health Contracted [320449]	$116	1420%
Ebms Contracted [320493]	$116	1420%
Edison Health Solutions Contracted [320502]	$116	1420%
Healthlink Contracted [320179]	$116 - $123	1420%
Imagine 360 Contracted [320494]	$116	1420%
Multiplan Contracted [320270]	$116	1420%
Multiplan [20270]	$116	1420%
Municipal Health Plan Contracted [320271]	$116	1420%
Reflect Health Contracted [320492]	$116	1420%
Show-Me Health Administrators Contracted [320483]	$116	1420%
Federal Medical Center Contracted [320127]	$123	1506%
Healthscope Contracted [320182]	$123	1506%
Insurance System Inc Contracted [320465]	$123	1506%
Personify Health Contracted [320051]	$123	1506%
Point C Contracted [320238]	$123	1506%
Preferred Health Plan Contracted [320522]	$123	1506%
Tri State Healthcare Coalition Contracted [320379]	$123	1506%

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 $89.
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 Mercy Hospital Paris 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.