CMS Price Transparency Data

Blood test, liver function panel

Facility: Aspen Valley Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $156
  • Cash Discount Price: $156
  • vs. Medicare Baseline: 19.09x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Aspen Valley Hospital is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 19.09x the Medicare baseline. Located in 401 Castle Creek Rd, Aspen, CO.
Cash / Self-Pay
$156

Average discount available for prompt cash payment at this facility.

Insurance Median
$156

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: $156 (1909%)
Insurance Median: $156 (1909%)
Cash: $156 (1909% of Medicare)
Ins. Median: $156 (1909% 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 1909% of the Medicare baseline (a markup of 1809%). 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
Aetna $84 - $156 1028%
Blue Cross Blue Shield $84 - $144 1028%
Humana $84 - $148 1028%
Medicare (plans) $84 1028%
Tricare $84 - $156 1028%
UnitedHealthcare $84 - $156 1028%
Veterans Administration [100068] $84 1028%
Cigna $109 - $156 1334%
Allied Benefit Systems [100015] $148 1812%
Geha [100039] $148 1812%
Healthscope [100157] $148 1812%
Aarp [100007] $156 1909%
Aig Travel [100255] $156 1909%
Aig [700029] $156 1909%
Ameriben [100266] $156 1909%
American Republic [100018] $156 1909%
Amtrust North America [700042] $156 1909%
Axa Travel [100256] $156 1909%
Bankers Life Casualty [100022] $156 1909%
Broadspire [700043] $156 1909%
Bupa Global [100257] $156 1909%
Ccmsi [700017] $156 1909%
Champ Va [500001] $156 1909%
Chp [300053] $156 1909%
Chubb Services [700054] $156 1909%
Companion Life Pivot Health [100258] $156 1909%
Corvel [700058] $156 1909%
Employee Benefit Management [100033] $156 1909%
Equitable Life [100160] $156 1909%
Esis Work Comp [700010] $156 1909%
Freedom Life Insurance Company [100158] $156 1909%
Gallagher Bassett Work Comp [700013] $156 1909%
Generic Commercial [109999] $156 1909%
Generic Other [509999] $156 1909%
Generic Travel Insurance [109998] $156 1909%
Generic Workers' Comp [709999] $156 1909%
Gerber Life Insurance [100265] $156 1909%
Global Excel [100259] $156 1909%
Gmmi [100260] $156 1909%
Hartford Work Comp [700055] $156 1909%
Harvard Pilgrim Healthcare [100241] $156 1909%
Health Net [100261] $156 1909%
Imagine 360 [100043] $156 1909%
Kaiser Permanente [100254] $156 1909%
Liberty Healthshare [100262] $156 1909%
Liberty Mutual Work Comp [700016] $156 1909%
Marriott Claim [700056] $156 1909%
Medi Share [100263] $156 1909%
Medicaid / KanCare $156 1909%
Mutual Of Omaha [100074] $156 1909%
Owcp [700057] $156 1909%
Physicians Mutual [100075] $156 1909%
Pinnacol Assurance Wc [700059] $156 1909%
Relations Insurance Kaiser [800004] $156 1909%
Sedgwick [700027] $156 1909%
Sentinel Security Life [100264] $156 1909%
Skico Ortho Alternative Payer [100163] $156 1909%
Transamerica [100097] $156 1909%
Travelers Work Comp [700028] $156 1909%
Tufts Health Plan [100268] $156 1909%
United American Insurance [100119] $156 1909%
Usaa Life Insurance Company [100155] $156 1909%
Wea [100120] $156 1909%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Castle Creek Rd, Aspen, CO 81611
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals