CMS Price Transparency Data

Blood test, liver function panel

Facility: HCA Florida Twin Cities Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $257
  • Cash Discount Price: $2,021
  • vs. Medicare Baseline: 31.46x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at HCA Florida Twin Cities Hospital is $257. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,021. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 31.46x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.
Cash / Self-Pay
$2,021

Average discount available for prompt cash payment at this facility.

Insurance Median
$257

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: $2,021 (24737%)
Insurance Median: $257 (3146%)
Cash: $2,021 (24737% of Medicare)
Ins. Median: $257 (3146% 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 3146% of the Medicare baseline (a markup of 3046%). 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
Humana $7 - $768 86%
Aetna $8 - $606 98%
Blue Cross Blue Shield $8 98%
Ndms Definitive Care $8 98%
Regency Hospice $8 98%
United $8 - $909 98%
Wellmed $8 98%
American Health Plan $9 110%
Centurion $9 110%
Clear Spring Health $9 110%
Florida Complete Care $9 110%
Gold Kidney Of Florida $9 110%
Healthspring Of Florida $9 110%
Sunshine State $9 110%
Ultimate Health Plan $9 110%
Wellcare $9 110%
Longevity Health Plan $10 122%
Oscar $11 135%
Simply Healthcare $13 159%
Corvel Corporation $257 3146%
Prime Health $263 3219%
Careworks (Rockport Community) $271 3317%
Simply $311 3807%
Molina Healthcare $384 - $647 4700%
Avmed $485 - $1,010 5936%
Sunshine State Health Plan $515 6304%
Plotkin Health $1,010 12362%
Prime Health Sheriff $1,010 12362%
Evolutions Healthcare $1,314 - $1,718 16083%
Multiplan $1,576 - $1,718 19290%
Ppo Next $1,718 21028%
Novanet $1,819 22264%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2190 Hwy 85 N, Niceville, FL 32578
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals