CMS Price Transparency Data

Blood test, liver function panel

Facility: North Okaloosa Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $10
  • Cash Discount Price: $165
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at North Okaloosa Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.22x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$165

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $165 (2020%)
Insurance Median: $10 (122%)
Cash: $165 (2020% of Medicare)
Ins. Median: $10 (122% 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
Amerigroup $5 61%
Humana $5 - $8 61%
Integral Health $5 61%
Magellan Health $5 61%
Medicaid / KanCare $5 61%
Prestige Health $5 61%
Simply Healthcare $5 - $8 61%
UnitedHealthcare $5 - $145 61%
Wellcare $5 - $8 61%
Tricare $7 86%
Aetna $8 - $549 98%
Blue Cross Blue Shield $8 - $461 98%
Cigna $8 - $571 98%
Medicare (plans) $8 98%
Node Champva $8 98%
Node Non Par Hospice Agree $8 98%
Node Va $8 98%
Veterans Eval Services $8 98%
Florida Department Of Corrections $9 110%
Evolutions $10 - $644 122%
Node Us Dept Of Labor $10 122%
Usa Managed Care Work Comp Fl $10 122%
Amcomp Workers Comp $11 135%
Prime Health Work Comp Fl $11 135%
Oscar $12 147%
State Auto Insurance Fl $16 196%
Occunet $20 245%
Self Pay $132 - $198 1616%
Corizon Health Inc $247 3023%
Phcs $659 8066%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals