CMS Price Transparency Data
Blood test, liver function panel
Facility: Mercy Hospital Berryville
Billing Code: 80076 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80076
- Insurance Median: $66
- Cash Discount Price: $161
- vs. Medicare Baseline: 8.08x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Mercy Hospital Berryville is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 8.08x the Medicare baseline. Located in 214 Carter Street, Berryville, AR.
Cash / Self-Pay
$161
Average discount available for prompt cash payment at this facility.
Insurance Median
$66
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: $161 (1971%)
Insurance Median: $66 (808%)
Cash: $161 (1971% of Medicare)
Ins. Median: $66 (808% 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 808% of the Medicare baseline (a markup of 708%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Cross Blue Shield | $7 - $63 | 86% |
| Medicaid / KanCare | $7 - $96 | 86% |
| United Medical Resources Contracted [320454] | $7 - $210 | 86% |
| UnitedHealthcare | $7 - $63 | 86% |
| Summit Community Care Contracted [320368] | $12 | 147% |
| Summit Community Care [20368] | $12 | 147% |
| Arkansas Total Care Contracted [320039] | $26 | 318% |
| Qual Choice Contracted [320324] | $36 | 441% |
| Aetna | $63 | 771% |
| American Health Advantage Of Mo Mcr [20264] | $63 | 771% |
| Cherokee Nation Health Serv Contracted [320066] | $63 | 771% |
| Cross Timbers Hospice [20098] | $63 | 771% |
| Dept Of Veteran Affairs Contracted [320106] | $63 | 771% |
| Elara Caring Aspire Hospice [20433] | $63 | 771% |
| Globalhealth Contracted [320145] | $63 | 771% |
| Halo Hcr Inc Hospice Contracted [320432] | $63 | 771% |
| Halo Hcr Inc Hospice [20432] | $63 | 771% |
| Humana | $63 - $210 | 771% |
| Independent Health [20197] | $63 | 771% |
| Indian Health Service Contracted [320198] | $63 | 771% |
| Indian Health Service [20198] | $63 | 771% |
| Jordan Valley Senior Care Pace [20515] | $63 | 771% |
| Kindful Hospice Contracted [320434] | $63 | 771% |
| Kindful Hospice [20434] | $63 | 771% |
| Medical Associates Health [20444] | $63 | 771% |
| Medicare (plans) | $63 - $66 | 771% |
| Mercy Hospice Okc [20252] | $63 | 771% |
| Mercy Mgd Behavioral Health Contracted [320259] | $63 | 771% |
| Pace Of The Ozarks [20518] | $63 | 771% |
| Provider Partners Health Plans Contracted [320450] | $63 | 771% |
| Qual Choice Contracted [320325] | $63 | 771% |
| Spina Bifida Hlthcare Benefit [20506] | $63 | 771% |
| Valir Pace [20503] | $63 | 771% |
| Wellfirst Health Mcr [20443] | $63 | 771% |
| Tricare | $64 | 783% |
| Cigna | $66 | 808% |
| Mercy Interfacility [20513] | $72 | 881% |
| Healthscope Contracted [320182] | $79 | 967% |
| Ambetter / Centene | $96 | 1175% |
| Home State Health Plan Contracted [320187] | $96 | 1175% |
| Novasys Contracted [320285] | $100 | 1224% |
| Administrative Payor Contracted [320005] | $111 | 1359% |
| Auxiant Contracted [320462] | $148 - $222 | 1812% |
| Healthlink Contracted [320179] | $161 - $210 | 1971% |
| Mercy Benefit Admin Contracted [320251] | $161 - $210 | 1971% |
| Personify Health Contracted [320051] | $161 | 1971% |
| Preferred Health Plan Contracted [320522] | $161 | 1971% |
| Insurance System Inc Contracted [320465] | $198 | 2424% |
| Point C Contracted [320238] | $198 | 2424% |
| Medica Contracted [320239] | $209 | 2558% |
| 90 Degree Benefits Contracted [320436] | $210 | 2570% |
| Aither Health Contracted [320449] | $210 | 2570% |
| Benefit Management Contracted [320052] | $210 | 2570% |
| Ebms Contracted [320493] | $210 | 2570% |
| Edison Health Solutions Contracted [320502] | $210 | 2570% |
| First Health Contracted [320128] | $210 | 2570% |
| Healthsmart Preferred Care Contracted [320184] | $210 | 2570% |
| Imagine 360 Contracted [320494] | $210 | 2570% |
| Ppo Plus Contracted [320310] | $210 | 2570% |
| Reflect Health Contracted [320492] | $210 | 2570% |
| Show-Me Health Administrators Contracted [320483] | $210 | 2570% |
| Multiplan Contracted [320270] | $235 | 2876% |
| Private Health Care Systems Contracted [320320] | $235 | 2876% |