CMS Price Transparency Data

Blood test, liver function panel

Facility: Morton Plant Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $33
Cash Discount Price: $24
vs. Medicare Baseline: 4.04x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Morton Plant Hospital is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 4.04x the Medicare baseline. Located in 300 Pinellas St, Clearwater, FL.

Cash / Self-Pay

$24

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $24 (294%)

Insurance Median: $33 (404%)

Cash: $24 (294% of Medicare)

Ins. Median: $33 (404% 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 404% of the Medicare baseline (a markup of 304%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $369	61%
Clear Health Alliance	$5	61%
Florida Community Care	$5	61%
Freedom Health	$5	61%
Humana	$5 - $10	61%
Molina Healthcare	$5	61%
Simply Healthcare	$5 - $82	61%
Sunshine Health	$5	61%
UnitedHealthcare	$5 - $408	61%
Molina	$7 - $268	86%
Baycareplus	$8	98%
Blue Cross Blue Shield	$8 - $240	98%
Freedom	$8 - $91	98%
Optimum	$8 - $91	98%
Careplus	$9 - $104	110%
Cigna	$9 - $394	110%
Solis Health	$9	110%
Wellcare	$11	135%
Avmed	$12 - $222	147%
Ultimate Health Plan	$12 - $136	147%
Ambetter / Centene	$18 - $453	220%
Evolutions	$20 - $421	245%
First Health	$33 - $385	404%
Multiplan	$35 - $408	428%
United Behavioral Health	$39 - $453	477%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $24.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Morton Plant Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.