CMS Price Transparency Data

Blood test, liver function panel

Facility: Copper Queen Community Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $55
  • Cash Discount Price: $158
  • vs. Medicare Baseline: 6.73x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Copper Queen Community Hospital is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 6.73x the Medicare baseline. Located in 101 Cole Avenue, Bisbee, AZ.
Cash / Self-Pay
$158

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $158 (1934%)
Insurance Median: $55 (673%)
Cash: $158 (1934% of Medicare)
Ins. Median: $55 (673% 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 673% of the Medicare baseline (a markup of 573%). 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
Allwell $32 392%
Amerigroup $32 392%
Azch Complete $32 392%
Banner Uc Health $32 392%
Humana $32 392%
Triwest $32 392%
UnitedHealthcare $36 - $115 441%
Copperpoint $49 600%
Bisbee Police $51 624%
Aetna $55 - $178 673%
Health Net Of Az $55 - $119 673%
Apipa $74 906%
Cigna $129 1579%
Blue Cross Blue Shield $135 1652%
Self Pay $158 1934%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Cole Avenue, Bisbee, AZ 85603
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals