CMS Price Transparency Data

Blood test, liver function panel

Facility: Longs Peak Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $29
  • Cash Discount Price: $96
  • vs. Medicare Baseline: 3.55x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Longs Peak Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 3.55x the Medicare baseline. Located in 1750 E Ken Pratt Blvd, Longmont, CO.
Cash / Self-Pay
$96

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $96 (1175%)
Insurance Median: $29 (355%)
Cash: $96 (1175% of Medicare)
Ins. Median: $29 (355% 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 355% of the Medicare baseline (a markup of 255%). 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
Blue Cross Blue Shield $6 - $102 73%
Aetna $8 98%
Cigna $8 - $30 98%
Cms $8 98%
Devoted Health $8 98%
Humana $8 98%
Kaiser $8 98%
Select Health $8 - $21 98%
UnitedHealthcare $8 - $73 98%
Simplified Benefits Administration $97 - $115 1187%
Denver Health Medical Plan $138 - $165 1689%
Rocky Mountain Health Plan $140 1714%
First Health $162 1983%
Multiplan $165 - $190 2020%
Phcs $192 2350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1750 E Ken Pratt Blvd, Longmont, CO 80504
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals