CMS Price Transparency Data

Blood test, liver function panel

Facility: Gunnison Valley Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $112
Cash Discount Price: $116
vs. Medicare Baseline: 13.71x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Gunnison Valley Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 13.71x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$116

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $116 (1420%)

Insurance Median: $112 (1371%)

Cash: $116 (1420% of Medicare)

Ins. Median: $112 (1371% 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 1371% of the Medicare baseline (a markup of 1271%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$10	122%
Medicare (plans)	$67	820%
Gunnison County Coroner Op Only	$70	857%
Gunnison County Sheriff Op & Profee Only	$70	857%
Ebms Hdhp	$82	1004%
Tetwp Op & Profee Only-All Plans	$82	1004%
U Of Co Transplant-All Plans	$82	1004%
Ebms Ppo Plan-All Other Plans	$95	1163%
Gunnison County Employees-All Other Plans	$109	1334%
Scottish Rites-All Plans	$109	1334%
Elap Employers-All Plans	$116	1420%
Blue Cross Blue Shield	$119	1457%
Apostrophe-All Plans	$122	1493%
Multiplan-All Plans	$126	1542%
Rocky Mountain Health-All Plans	$129	1579%
UnitedHealthcare	$129	1579%
Aetna	$131	1603%
Cofinity-All Plans	$131	1603%
Cigna	$133	1628%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $116.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Gunnison Valley Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.