CMS Price Transparency Data

Blood test, liver function panel

Facility: Baptist Medical Center - Nassau

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $55
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 6.73x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Baptist Medical Center - Nassau is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 6.73x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
$88

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $88 (1077%)
Insurance Median: $55 (673%)
Cash: $88 (1077% of Medicare)
Ins. Median: $55 (673% 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 673% of the Medicare baseline (a markup of 573%). 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%
Daniel Memorial $5 61%
Florida Community Care $5 - $9 61%
Humana $5 61%
Molina Healthcare Of Florida $5 61%
Nassaua County Sheriff'S Office $5 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 - $70 98%
Va Ccn $8 98%
Devoted $9 110%
Upmc $9 110%
Ambetter / Centene $20 245%
Blue Cross Blue Shield $41 - $92 502%
Avmed $45 - $106 551%
Borland Groover $57 698%
Occunet $57 698%
Northeast Florida State Hospital $60 734%
Centivo $62 - $121 759%
Capital Health Plan $65 796%
Geo Group $71 869%
Watchtower $78 955%
Fscj Student Insurance $85 1040%
Savannah Grand Of Amelia Island $85 1040%
Cigna $88 - $108 1077%
Suddath Company $89 1089%
Medicaid / KanCare $92 1126%
Peach State Health Plan $92 1126%
Phcs $106 1297%
Evolutions Healthcare $128 1567%
Multiplan $128 1567%
Corvel $139 1701%
Coventry Workers Comp $139 1701%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals