CMS Price Transparency Data

Blood test, liver function panel

Facility: Coral Gables Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $10
  • Cash Discount Price: $544
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Coral Gables Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $544. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.22x the Medicare baseline. Located in 3100 Douglas Rd, Coral Gables, FL.
Cash / Self-Pay
$544

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $544 (6659%)
Insurance Median: $10 (122%)
Cash: $544 (6659% of Medicare)
Ins. Median: $10 (122% 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 $4 - $160 49%
Humana $5 - $199 61%
Medicaid / KanCare $5 61%
UnitedHealthcare $5 - $8 61%
Veterans Administration Mill Bill $6 73%
Avmed Broad Network $7 86%
Medicare (plans) $7 - $18 86%
Aetna $8 - $408 98%
Catholic Hospice $8 98%
Devoted Health $8 98%
Employer Direct Healthcare $8 - $10 98%
Hcr Manor Care Services Of Fl Ii Dba Heartland Hospice Services $8 98%
Healthsun Health Plans $8 98%
Hospice Other $8 98%
Leon Health Inc $8 98%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $8 98%
Opus Care Of South Florida $8 98%
Seasons Hospice And Palliative Care Of Southern Florida Inc $8 98%
Tricare $8 98%
Veterans Administration Vaccn $8 98%
Vitas Healthcare Corporation/Hospice Ppo $8 98%
Longevity Health Plan $9 110%
Bright Health Management Commercial $10 122%
Florida Pace Centers $10 122%
Imagine Health $10 122%
Oscar Health Plan Hix $10 122%
Self Pay/Uninsured $10 122%
Dimension Health Wc $11 135%
Naphcare Inc $11 135%
Workers Compensation $11 135%
Avmed Exchange $14 171%
Ambetter / Centene $15 184%
Auto Insurance $16 196%
Molina Marketplace Program Exchange $16 196%
Avmed Select Network $17 208%
Amerihealth Caritas Next Exchange $18 220%
Bc/Bs Myblue Hmo Hix $67 820%
Bc/Bs Of Fl Network Blue $72 881%
Bc/Bs Of Fl Ppo $72 881%
Bc/Bs Of Fl Simplyblue $72 881%
Bc/Bs Of Fl Blue Select Exchange Non Par $78 955%
Bc/Bs Of Fl Health Options Hmo $83 1016%
Bc/Bs Of Fl Miami Dade Blue Select $83 1016%
Bc/Bs Of Fl Phs $292 3574%
Dimension International $354 4333%
First Health $386 4725%
Dimension Health Ppo $408 4994%
Commercial Non-Contracted $544 6659%
Self Pay - Mcd Pending 100 Percent $544 6659%
Single Case Agreement $544 6659%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Douglas Rd, Coral Gables, FL 33134
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals