CMS Price Transparency Data

Blood test, liver function panel

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $44
  • Cash Discount Price: $97
  • vs. Medicare Baseline: 5.39x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Baptist Health Medical Center - Jacksonville is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 5.39x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$97

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $97 (1187%)
Insurance Median: $44 (539%)
Cash: $97 (1187% of Medicare)
Ins. Median: $44 (539% 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 539% of the Medicare baseline (a markup of 439%). 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 $5 - $114 61%
Amerigroup Of Georgia $5 61%
Amerihealth Caritas $5 61%
Caresource Of Georgia $5 - $92 61%
Daniel Memorial $5 61%
Florida Community Care $5 - $9 61%
Humana $5 61%
Molina Healthcare Of Florida $5 61%
Peach State Health Plan $5 - $92 61%
Simply Healthcare Plans $5 61%
Simply Healthcare Plans - Cha $5 61%
Sunshine State Health Plan $5 61%
United Community Plan $5 61%
Vivida Health $5 61%
Community Hospice Of Northeast Florida $8 98%
Pace $8 98%
Tomorrow'S Rainbow $8 98%
UnitedHealthcare $8 - $74 98%
Va Ccn $8 98%
Devoted $9 110%
Upmc $9 110%
Corvel $11 - $139 135%
Coventry Workers Comp $11 - $139 135%
Non-Contracted $11 - $21 135%
Ambetter / Centene $20 245%
Blue Cross Blue Shield $28 - $92 343%
Avmed $45 - $74 551%
Cigna $55 - $87 673%
Borland Groover $57 698%
Occunet $57 - $71 698%
Northeast Florida State Hospital $60 - $67 734%
Centivo $62 - $121 759%
Capital Health Plan $65 796%
Innovative Healthware Services $67 820%
Geo Group $71 869%
Volusia Health Network $78 955%
Watchtower $78 955%
Fscj Student Insurance $85 1040%
Suddath Company $89 1089%
Medicaid / KanCare $92 1126%
Uf Health Proton Therapy Institute $99 1212%
Phcs $106 - $114 1297%
Evolutions Healthcare $128 1567%
Multiplan $128 1567%
United Behavioral Health $517 6328%
Nemours Research $983 12032%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals