CMS Price Transparency Data

Blood test, liver function panel

Facility: Halifax Health Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $93
  • Cash Discount Price: $149
  • vs. Medicare Baseline: 11.38x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Halifax Health Medical Center is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 11.38x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
$149

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $149 (1824%)
Insurance Median: $93 (1138%)
Cash: $149 (1824% of Medicare)
Ins. Median: $93 (1138% 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 1138% of the Medicare baseline (a markup of 1038%). 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 $5 - $186 61%
Caresource Network $5 61%
Coventry $5 - $118 61%
Hcra $5 61%
Humana $5 61%
Independent Living Systems $5 - $93 61%
Medicaid / KanCare $5 61%
Molina $5 61%
Simply Healthcare Plans $5 61%
Sunshine State Health Plan $5 - $65 61%
UnitedHealthcare $5 - $112 61%
West Volusia $5 61%
Employers Health Network $12 147%
Fhcp $16 196%
Florida Healthcare $18 220%
Embs $52 - $158 636%
Florida Healthcare - Hecn $64 783%
Blue Cross Blue Shield $73 - $82 894%
Avmed $86 - $93 1053%
Centivo $93 1138%
County Of Volusia Corrections $93 1138%
A&G Admin $95 1163%
Volusia County Employee $95 1163%
Claimdoc $112 1371%
Devoted Health $112 1371%
Division Of The Blind $112 1371%
Oscar $112 1371%
Prime Health Services $112 1371%
Volusia $112 - $130 1371%
Sim Plan Pay $121 1481%
Hrgi $130 1591%
Plotkin Consulting $130 1591%
Evolutions International $140 1714%
Summit America $149 1824%
Americas Choice Provider Network $167 - $186 2044%
Integrated Health Plan $167 2044%
Multiplan $167 2044%
Three Rivers $177 2166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals