CMS Price Transparency Data

Blood test, liver function panel

Facility: HCA Florida Jfk Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $265
  • Cash Discount Price: $3,045
  • vs. Medicare Baseline: 32.44x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at HCA Florida Jfk Hospital is $265. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,045. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 32.44x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$3,045

Average discount available for prompt cash payment at this facility.

Insurance Median
$265

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: $3,045 (37271%)
Insurance Median: $265 (3244%)
Cash: $3,045 (37271% of Medicare)
Ins. Median: $265 (3244% 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 3244% of the Medicare baseline (a markup of 3144%). 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 $8 - $914 98%
Blue Cross Blue Shield $8 98%
Careplus Sfl $8 98%
Devoted Health $8 98%
Humana $8 - $1,035 98%
Ndms Definitive Care $8 98%
Palm Beach Pace $8 98%
United $8 - $1,370 98%
United Behavioral Health $8 98%
Veterans Evaluation Services $8 98%
Wellmed $8 98%
Align $9 110%
American Health Plan $9 110%
Centurion $9 110%
Cigna $9 110%
Doctors Healthcare Plan $9 110%
Florida Complete Care $9 110%
Gold Kidney $9 110%
Oscar $9 - $12 110%
Prominence Healthfirst $9 110%
Sunshine State $9 110%
Amerihealth Caritas $10 - $12 122%
Longevity Health Plan $10 122%
Simply Healthcare $10 122%
Solis Health Plan $12 147%
Freedom Health $262 - $487 3207%
Optimum $262 3207%
Corvel Corporation $267 3268%
Careworks (Rockport) $273 3341%
Prime Health $273 3341%
Avmed $396 - $1,522 4847%
Simply Healthcare Plans $396 4847%
Molina $518 - $822 6340%
Healthy Palm Beaches $550 6732%
Health Sun Health Plan $649 7944%
Aids Healthcare $670 - $3,654 8201%
Mmm Of Fl (Health Advantage Plan) $700 8568%
United Ppo $722 8837%
Sunshine State Health Plan $792 9694%
Blis $1,066 13048%
District Cares $1,522 18629%
Plotkin Health $1,522 18629%
Prime Health Sherriff $1,522 18629%
Medica Healthcare $1,797 21995%
Multiplan $2,284 - $2,588 27956%
Evernorth Bh $2,436 29816%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals