CMS Price Transparency Data

Blood test, liver function panel

Facility: HCA Florida North Florida Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $17
  • Cash Discount Price: $335
  • vs. Medicare Baseline: 2.08x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at HCA Florida North Florida Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $335. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 2.08x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.
Cash / Self-Pay
$335

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $335 (4100%)
Insurance Median: $17 (208%)
Cash: $335 (4100% of Medicare)
Ins. Median: $17 (208% 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 208% of the Medicare baseline (a markup of 108%). 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
Avmed $4 - $317 49%
Simply $5 - $98 61%
United $5 - $286 61%
Hospice Of North Central Fl $7 86%
Humana $7 - $127 86%
Molina Healthcare $7 - $203 86%
Aetna $8 - $190 98%
Blue Cross Blue Shield $8 98%
Capital Health Plan $8 98%
Evolutions $8 - $146 98%
Ndms Definitive Care $8 98%
United Behavioral Health $8 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%
Sunshine State Health Plan $9 - $162 110%
Ultimate Health Plan $9 110%
Wellcare $9 110%
Longevity Health Plan $10 122%
Oscar $10 122%
Simply Healthcare $10 122%
Plotkin Health $18 - $317 220%
Prime Health Sheriff $18 - $317 220%
Corizon Phs $21 - $381 257%
Evernorth $28 - $508 343%
Multiplan $28 - $540 343%
Evolutions Healthcare $30 - $540 367%
Ppo Next $30 - $540 367%
Novanet $32 - $571 392%
Beacon Health Options $35 - $635 428%
Corvel Corporation $269 3293%
Prime Health $274 3354%
Careworks (Rockport Community) $283 3464%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 W Newberry Rd, Gainesville, FL 32605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals