CMS Price Transparency Data

Blood test, liver function panel

Facility: Good Samaritan Medical Center LLC

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $99
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 12.12x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Good Samaritan Medical Center LLC is $99. 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 12.12x the Medicare baseline. Located in 200 Exempla Cir, Lafayette, CO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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: $99 (1212%)
Ins. Median: $99 (1212% 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 1212% of the Medicare baseline (a markup of 1112%). 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 - $247 61%
Aarp $8 98%
Geha $8 - $143 98%
Kaiser Snp $8 98%
Select Health $8 98%
UnitedHealthcare $8 - $143 98%
Blue Cross Blue Shield $15 - $208 184%
Denv Hlth Med Plan $21 257%
Kaiser Perm Hmo $46 - $104 563%
Kaiser Self Funded $57 - $104 698%
Kaiser Perm Ppo/Pos $58 - $107 710%
Allegiance $62 759%
Aetna $92 - $222 1126%
Preferred One $99 1212%
Humana $104 1273%
Cofinity $178 2179%
First Health Network $178 2179%
Private Hlthcare Sys $185 2264%
Multiplan Inc $210 2570%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Exempla Cir, Lafayette, CO 80026
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals