CMS Price Transparency Data

Blood test, liver function panel

Facility: Intermountain Health St. Mary's Regional Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $55
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 6.73x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Intermountain Health St. Mary's Regional Hospital is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 6.73x the Medicare baseline. Located in 2635 N 7Th St, Grand Junction, CO.
Cash / Self-Pay
Unavailable

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%)
Insurance Median: $55 (673%)
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
Geha $8 - $70 98%
Select Health $8 98%
UnitedHealthcare $8 - $70 98%
Blue Cross Blue Shield $20 - $30 245%
Monument Health $40 490%
Cigna $49 - $57 600%
Allegiance $57 698%
Aetna $60 - $70 734%
Kaiser Perm Ppo/Pos $65 796%
Meritain Health $67 820%
Cofinity $70 857%
First Health Network $70 857%
Humana $70 857%
Private Hlthcare Sys $74 906%
Public Employees Health $77 942%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2635 N 7Th St, Grand Junction, CO 81501
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals