CMS Price Transparency Data

Blood test, liver function panel

Facility: Santa Rosa Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Santa Rosa Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $25 (306%)
Insurance Median: $8 (98%)
Cash: $25 (306% of Medicare)
Ins. Median: $8 (98% 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
Cigna $2 - $70 24%
Self Pay $2 - $71 24%
UnitedHealthcare $2 - $60 24%
Aetna $5 - $174 61%
Fl Community Care $5 61%
Humana $5 - $8 61%
Medicaid / KanCare $5 61%
Molina $5 61%
Wellcare $5 61%
Prime Health Services $7 - $248 86%
Tricare $7 86%
Blue Cross Blue Shield $8 - $310 98%
Hospice Of Nw Fl $8 98%
Medicare (plans) $8 98%
Node Champva $8 98%
Node Va $8 98%
Node Wellcare Mcr Adv $8 98%
Oscar $8 - $12 98%
Veterans Eval Services $8 98%
Geo Group $10 122%
Node Us Dept Of Labor $10 122%
Florida Workers Compensation $11 135%
Prime Health Work Comp Fl $11 135%
Florida State Auto Insurance $16 196%
Ambetter / Centene $20 245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6002 Berryhill Rd, Milton, FL 32570
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals