CMS Price Transparency Data

Blood test, liver function panel

Facility: Northwest Medical Center Sahuarita

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $153
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Northwest Medical Center Sahuarita is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ.
Cash / Self-Pay
$153

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: $153 (1873%)
Insurance Median: $8 (98%)
Cash: $153 (1873% 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
Aetna $8 - $12 98%
Banner Mcr Adv $8 98%
Blue Cross Blue Shield $8 - $72 98%
Cigna $8 - $13 98%
Department Of Veterans Affairs $8 98%
Humana $8 98%
Medicaid / KanCare $8 - $9 98%
Medicare (plans) $8 98%
Mercy Care $8 98%
Node Banner Mcr Adv $8 98%
Node Caremore Mcr Adv $8 98%
Node Champva $8 98%
Node Clover Health Mcr Adv $8 98%
Node Devoted Health Mcr Adv $8 98%
Node Mercy Care Mcr Adv $8 98%
Node Non Par Hospice Agree $8 98%
Node Triwest $8 98%
Node Va $8 98%
Node Wellcare Mcr Adv $8 98%
Tricare $8 98%
UnitedHealthcare $8 - $10 98%
Node Us Dept Of Labor $10 122%
Ambetter / Centene $12 147%
Node Health Choice Health Exchange $12 147%
Node Fusion Network $15 184%
Node J Allen Inmate Health Svcs $16 196%
Self Pay $96 - $209 1175%
Coventry Work Comp Al $322 3941%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ 85629
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals