CMS Price Transparency Data

Blood test, liver function panel

Facility: University of Miami Hospital and Clinics

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $28
Cash Discount Price: $33
vs. Medicare Baseline: 3.43x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at University of Miami Hospital and Clinics is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 3.43x the Medicare baseline. Located in 1475 Nw 12Th Ave Suite 2175, Miami, FL.

Cash / Self-Pay

$33

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $33 (404%)

Insurance Median: $28 (343%)

Cash: $33 (404% of Medicare)

Ins. Median: $28 (343% 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 343% of the Medicare baseline (a markup of 243%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Careplus	$6 - $55	73%
Sunshine Health	$6 - $55	73%
Amerihealth Caritas Fl	$7 - $61	86%
Molina Healthcare Of Fl	$7 - $59	86%
Blue Cross Blue Shield	$8 - $370	98%
UnitedHealthcare	$8 - $35	98%
Aetna	$9 - $120	110%
Cigna	$9 - $95	110%
Humana	$9	110%
Solis Health	$9	110%
Curative	$13 - $116	159%
Avmed	$14 - $142	171%
Employers Health Network	$15 - $131	184%
Simply Healthcare	$15 - $131	184%
First Health	$16 - $142	196%
Health First New York Health Insurance	$16 - $142	196%
Broward Health	$18 - $153	220%
Beech Street	$20 - $175	245%
Dimension Health	$20 - $175	245%
Multiplan	$20 - $175	245%
Oscar Health Of Fl	$61	747%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $33.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Miami Hospital and Clinics is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.