CMS Price Transparency Data

Blood test, liver function panel

Facility: North Shore Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $10
  • Cash Discount Price: $850
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at North Shore Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $850. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.22x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$850

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $850 (10404%)
Insurance Median: $10 (122%)
Cash: $850 (10404% of Medicare)
Ins. Median: $10 (122% 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
Cigna $4 - $425 49%
Humana $5 - $339 61%
Medicaid / KanCare $5 - $850 61%
UnitedHealthcare $5 - $8 61%
Veterans Administration Mill Bill $6 73%
Avmed Broad Network $7 86%
Medicare (plans) $7 - $850 86%
Aetna $8 - $612 98%
Devoted Health $8 98%
Employer Direct Healthcare $8 - $10 98%
Healthsun Health Plans $8 98%
Hospice Other $8 98%
Leon Health Inc $8 98%
Tricare $8 98%
Veterans Administration Vaccn $8 98%
Longevity Health Plan $9 110%
Bright Health Management Commercial $10 122%
Centurion Prison $10 122%
Florida Pace Centers $10 122%
Imagine Health $10 122%
Oscar Health Plan Hix $10 122%
Self Pay/Uninsured $10 122%
Dimension Health Wc $11 135%
Workers Compensation $11 135%
Avmed Exchange $14 171%
Ambetter / Centene $15 184%
Auto Insurance $16 196%
Molina Marketplace Program Exchange $16 196%
Avmed Select Network $17 208%
Amerihealth Caritas Next Exchange $18 220%
Bc/Bs Myblue Hmo Hix $105 1285%
Bc/Bs Of Fl Network Blue $113 1383%
Bc/Bs Of Fl Ppo $113 1383%
Bc/Bs Of Fl Simplyblue $113 1383%
Bc/Bs Of Fl Blue Select Exchange Non Par $122 1493%
Bc/Bs Of Fl Health Options Hmo $122 1493%
Bc/Bs Of Fl Phs $441 5398%
Magellan Behavioral Health $510 6242%
Dimensions International $553 6769%
First Health $578 7075%
Dimension Health Ppo $638 7809%
Beacon Health Strategies Commercial $850 10404%
Commercial Non-Contracted $850 10404%
Self Pay - Mcd Pending 100 Percent $850 10404%
Single Case Agreement $850 10404%
United Behavioral Health Psych $850 10404%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals