CMS Price Transparency Data
Blood test, liver function panel
Facility: Palmetto General Hospital
Billing Code: 80076 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80076
- Insurance Median: $10
- Cash Discount Price: $738
- vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Palmetto General Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $738. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.22x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$738
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: $738 (9033%)
Insurance Median: $10 (122%)
Cash: $738 (9033% 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 - $369 | 49% |
| Humana | $5 - $300 | 61% |
| Medicaid / KanCare | $5 - $738 | 61% |
| UnitedHealthcare | $5 - $8 | 61% |
| Veterans Administration Mill Bill | $6 | 73% |
| Avmed Broad Network | $7 | 86% |
| Medicare (plans) | $7 - $738 | 86% |
| Aetna | $8 - $524 | 98% |
| Bristol Hospice- Miami Dade Llc | $8 | 98% |
| Catholic Hospice | $8 | 98% |
| Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc | $8 | 98% |
| Devoted Health | $8 | 98% |
| Employer Direct Healthcare | $8 - $10 | 98% |
| Healthsun Health Plans | $8 | 98% |
| Hospice Other | $8 | 98% |
| Ima Evalutations Inc | $8 | 98% |
| Leon Health Inc | $8 | 98% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $8 | 98% |
| Opuscare Of South Fl | $8 | 98% |
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $8 | 98% |
| Select Specialty Hospital | $8 | 98% |
| Tricare | $8 | 98% |
| Veterans Administration Vaccn | $8 | 98% |
| Vitas Healthcare Hospice | $8 | 98% |
| Westchester General Hospital | $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 | $106 | 1297% |
| Bc/Bs Of Fl Network Blue | $106 | 1297% |
| Bc/Bs Of Fl Simplyblue | $106 | 1297% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $113 | 1383% |
| Bc/Bs Of Fl Health Options Hmo | $113 | 1383% |
| Bc/Bs Of Fl Ppo | $113 | 1383% |
| Bc/Bs Of Fl Miami Dade Blue Select | $149 | 1824% |
| Liga Contra El Cancer | $369 | 4517% |
| Bc/Bs Of Fl Phs | $370 | 4529% |
| Magellan Behavioral Health | $443 | 5422% |
| Dimensions International | $480 | 5875% |
| First Health | $494 | 6047% |
| Dimension Health Ppo | $553 | 6769% |
| Beacon Health Strategies Commercial | $738 | 9033% |
| Commercial Non-Contracted | $738 | 9033% |
| Self Pay - Mcd Pending 100 Percent | $738 | 9033% |
| Single Case Agreement | $738 | 9033% |
| United Behavioral Health Psych | $738 | 9033% |