CMS Price Transparency Data

Blood test, liver function panel

Facility: HCA Florida Lake City Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $104
  • Cash Discount Price: $863
  • vs. Medicare Baseline: 12.73x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at HCA Florida Lake City Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $863. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 12.73x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.
Cash / Self-Pay
$863

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $863 (10563%)
Insurance Median: $104 (1273%)
Cash: $863 (10563% of Medicare)
Ins. Median: $104 (1273% 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 1273% of the Medicare baseline (a markup of 1173%). 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
Hospice Of North Central Fl $7 86%
Humana $7 - $173 86%
Aetna $8 - $259 98%
Blue Cross Blue Shield $8 98%
Ndms Definitive Care $8 98%
United $8 - $388 98%
Wellmed $8 98%
Align Senior Care $9 110%
American Health Plan $9 110%
Centurion $9 110%
Cigna $9 110%
Clear Spring Health $9 110%
Florida Complete Care $9 110%
Gold Kidney Of Florida $9 110%
Sunshine State $9 110%
Ultimate Health Plan $9 110%
Wellcare $9 110%
Longevity Health Plan $10 122%
Oscar $10 122%
Simply Healthcare $10 122%
Avmed $104 - $432 1273%
Simply $133 1628%
Evolutions $198 - $734 2424%
Sunshine State Health Plan $220 2693%
Corvel Corporation $239 2925%
Prime Health $244 2987%
Careworks (Rockport Community) $252 3084%
Molina Healthcare $276 3378%
Plotkin Health $432 5288%
Prime Health Sheriff $432 5288%
Hamilton County Jail $466 5704%
Multiplan $673 - $734 8237%
Ppo Next $734 8984%
Novanet $777 9510%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 340 Nw Commerce Dr, Lake City, FL 32055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals