CMS Price Transparency Data

Blood test, liver function panel

Facility: Cleveland Clinic Indian River Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Cleveland Clinic Indian River Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 1000 36Th St, Vero Beach, FL.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $94 (1151%)
Insurance Median: $9 (110%)
Cash: $94 (1151% of Medicare)
Ins. Median: $9 (110% 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 - $115 98%
Avmed $8 - $45 98%
Blue Cross Blue Shield $8 98%
Carelon Bh Strategies $8 98%
Careplus $8 98%
Freedom Health $8 98%
Humana $8 98%
United $8 98%
Wellcare $8 98%
Wellmed $8 98%
Devoted Health $9 110%
Independent Living Systems $9 110%
Cigna $15 - $19 184%
Bmi $79 967%
Magellan $86 1053%
Clarity Health $94 1151%
The Legacy Companies $94 1151%
Multiplan $115 1408%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 36Th St, Vero Beach, FL 32960
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals