CMS Price Transparency Data

Blood test, liver function panel

Facility: Saint Mary's Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $15
  • Cash Discount Price: $32
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Saint Mary's Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.84x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$32

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $32 (392%)
Insurance Median: $15 (184%)
Cash: $32 (392% of Medicare)
Ins. Median: $15 (184% 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.

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 $7 - $9 86%
Aetna $8 - $15 98%
Cca Senior Care Options $8 98%
Cigna $8 - $47 98%
Geha $8 98%
Harvard Pilgrim Healthcare $8 98%
Medicare (plans) $8 98%
UnitedHealthcare $8 - $59 98%
Bcn Domestic $9 110%
Blue Benefit Administrators of Massachusetts $9 110%
Blue Care Network $9 110%
Blue Distinction Transplant $9 110%
Blue Shield - Ca $9 110%
Blue Shield - Id (Regence) $9 110%
Blue Shield - Ny Highmark Northeastern $9 110%
Blue Shield - Ny Highmark Western $9 110%
Blue Shield - PA (Highmark) $9 110%
Blue Shield - Wa (Regence) $9 110%
Connecticare $9 110%
Health Choices $9 110%
Kaiser Domestic $9 110%
Pre-Employment $9 110%
Unicare $9 110%
Wc Domestic $9 110%
Wellpoint $9 110%
Centivo $10 122%
1199 National Benefit Fund $15 184%
Allied Benefit Systems $15 184%
Connecticut Dept of Correction $15 184%
Gravie Admin Services $15 184%
Hap $15 184%
Luminare Health $15 184%
Meritain $15 184%
Nippon Life Ins $15 184%
Webtpa $15 184%
Allegiance $17 208%
Claimdoc $17 208%
Diversified Administrators $17 208%
Health Partners $17 208%
Innovative Health Plan II $17 208%
Magnacare $17 208%
Carelon Behavioral Health $30 367%
Health New England $31 379%
Allied National Global Care $45 551%
Asrm - Reliance Standard Life Insurance $45 551%
Christian Care Ministry $45 551%
Dean Health $45 551%
Fallon Health $45 551%
Family Life Insurance Company $45 551%
Ghc Scw $45 551%
International Benefit Administrators $45 551%
Lifetime Benefit Solutions $45 551%
Manhattan Life $45 551%
Medi Share $45 551%
Multiplan $45 551%
Mvp $45 551%
PHCS $45 551%
Pai $45 551%
Pan-American Life $45 551%
Paramount HMO $45 551%
Trinity Health Share $45 551%
Prime Health Services $47 575%
Health Smart $50 612%
United Behavioral Health Eap $59 722%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals