CMS Price Transparency Data

Blood test, liver function panel

Facility: The Medical Center of Aurora & South Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $25
  • Cash Discount Price: $1,713
  • vs. Medicare Baseline: 3.06x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at The Medical Center of Aurora & South Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,713. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 3.06x the Medicare baseline. Located in 1501 S Potomac St, Aurora, CO.
Cash / Self-Pay
$1,713

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $1,713 (20967%)
Insurance Median: $25 (306%)
Cash: $1,713 (20967% of Medicare)
Ins. Median: $25 (306% 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 306% of the Medicare baseline (a markup of 206%). 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 $4 - $1,097 49%
Aetna $8 - $905 98%
Blue Cross Blue Shield $8 - $1,268 98%
Bright Health $8 - $514 98%
Devoted Health $8 98%
Humana $8 98%
Kaiser $8 - $608 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 - $771 98%
Wellcare $8 98%
Delaware Life Insurance $9 110%
Vail Health $260 3182%
Colorado Program For Children With Special Needs $720 8813%
Western Plains Community Health $1,114 13635%
Multiplan $1,199 - $1,542 14676%
Northcare $1,199 14676%
Physician Health Partners $1,199 14676%
Pinnacol Workers Comp $1,285 15728%
Medical Development International $1,371 16781%
Prime Health $1,542 18874%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 S Potomac St, Aurora, CO 80012
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals