CMS Price Transparency Data

Blood test, liver function panel

Facility: Lower Keys Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $14
  • Cash Discount Price: $174
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Lower Keys Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $174. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.71x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$174

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $174 (2130%)
Insurance Median: $14 (171%)
Cash: $174 (2130% of Medicare)
Ins. Median: $14 (171% 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
UnitedHealthcare $6 - $433 73%
Florida Childrens Medical Services $7 86%
Humana $7 - $8 86%
Medicaid / KanCare $7 - $8 86%
South Florida Community Care Network $7 86%
Amerigroup $8 98%
Blue Cross Blue Shield $8 - $563 98%
Magellan $8 98%
Medicare (plans) $8 98%
Molina $8 98%
Node Champva $8 98%
Node Non Par Hospice Agree $8 98%
Node United Behavioral Va Ccn $8 98%
Node Va $8 98%
Positive Healthcare $8 98%
Prestige Health Choice $8 98%
Simply Healthcare $8 - $174 98%
Tricare $8 98%
Ultimate Health $8 98%
Veterans Eval Services $8 98%
Wellcare $8 98%
Wellcare Healthease $8 98%
Correct Care Solutions $9 110%
Node Us Dept Of Labor $10 122%
Fl Work Comp $11 135%
Heritage Summit Work Comp Fl $11 135%
Prime Health Work Comp Fl $11 135%
State Auto Insurance Fl $16 196%
Self Pay $152 - $197 1860%
Cigna $332 4064%
Aetna $393 4810%
Monroe County $422 5165%
Evolutions Healthcare Systems $450 - $535 5508%
Keys Energy $450 5508%
Prime Health Ppo $450 5508%
Avmed Health Plan $478 5851%
Direct Healthcare $563 6891%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals