CMS Price Transparency Data

Blood test, liver function panel

Facility: HCA Florida Highlands Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $13
  • Cash Discount Price: $511
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at HCA Florida Highlands Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $511. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.59x the Medicare baseline. Located in 3600 S Highlands Ave, Sebring, FL.
Cash / Self-Pay
$511

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $511 (6255%)
Insurance Median: $13 (159%)
Cash: $511 (6255% of Medicare)
Ins. Median: $13 (159% 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
Aetna $8 - $153 98%
Blue Cross Blue Shield $8 98%
Devoted Health $8 98%
Humana $8 - $204 98%
Ndms Definitive Care $8 98%
United $8 - $230 98%
Wellmed $8 98%
American Health Plan $9 110%
Centurion $9 110%
Cigna $9 110%
Florida Complete Care $9 110%
Prominence Healthfirst $9 110%
Sunshine State $9 110%
Amerihealth Caritas $10 122%
Longevity Health Plan $10 122%
Oscar $16 196%
Simply Healthcare $18 220%
Freedom Health $44 539%
Avmed $66 - $256 808%
Molina $97 1187%
Office Of Sheiff Highland Co $179 2191%
United Ppo $225 2754%
Prime Health $238 2913%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals