CMS Price Transparency Data

Blood test, liver function panel

Facility: Hca-Healthone DBA Swedish Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $209
  • Cash Discount Price: $667
  • vs. Medicare Baseline: 25.58x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Hca-Healthone DBA Swedish Medical Center is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $667. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 25.58x the Medicare baseline. Located in 501 E Hampden Ave, Englewood, CO.
Cash / Self-Pay
$667

Average discount available for prompt cash payment at this facility.

Insurance Median
$209

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: $667 (8164%)
Insurance Median: $209 (2558%)
Cash: $667 (8164% of Medicare)
Ins. Median: $209 (2558% 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 2558% of the Medicare baseline (a markup of 2458%). 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
Cigna $5 - $433 61%
Aetna $8 - $357 98%
Blue Cross Blue Shield $8 - $501 98%
Bright Health $8 - $203 98%
Devoted Health $8 98%
Humana $8 98%
Kaiser $8 - $219 98%
Mutual Of Omaha $8 98%
Rocky Mountain Health $8 98%
Rocky Mountain Health Plan $8 98%
Total Longterm Care $8 98%
Triwest Health Alliance $8 98%
United $8 - $305 98%
Wellcare $8 98%
Delaware Life Insurance $9 110%
Vail Health $94 - $103 1151%
Colorado Program For Children With Special Needs $271 - $298 3317%
Western Plains Community Health $400 - $440 4896%
Multiplan $431 - $609 5275%
Northcare $431 - $474 5275%
Physician Health Partners $431 - $474 5275%
Pinnacol Workers Comp $461 - $508 5643%
Medical Development International $492 - $541 6022%
Prime Health $554 - $609 6781%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 E Hampden Ave, Englewood, CO 80113
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals