CMS Price Transparency Data

Blood test, liver function panel

Facility: Marion Communtiy Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $14
  • Cash Discount Price: $2,820
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Marion Communtiy Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,820. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.71x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$2,820

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: $2,820 (34517%)
Insurance Median: $14 (171%)
Cash: $2,820 (34517% 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
Humana $7 - $564 86%
Blue Cross Blue Shield $8 98%
Devoted Health $8 98%
Freedom Optimum $8 98%
Ndms Definitive Care $8 98%
United $8 - $1,269 98%
Va Purchased Care Program $8 98%
Veterans Evaluation Services $8 98%
Wellmed $8 98%
Aetna $9 - $846 110%
Align Senior Care $9 110%
American Health Plan $9 110%
Avmed $9 - $789 110%
Careplus $9 110%
Centurion $9 110%
Cigna $9 110%
Clear Spring Health $9 110%
Florida Complete Care $9 110%
Gold Kidney Of Florida $9 110%
Secur $9 110%
Sunshine State $9 110%
Ultimate Health Plan $9 110%
Wellcare $9 110%
Longevity Health Plan $10 122%
Simply Healthcare $10 122%
Naphcare $17 - $20 208%
University Ma Federal Corrections $17 208%
Wellpath $17 - $20 208%
Corvel Corporation $243 2974%
Prime Health $248 3035%
Careworks (Rockport Community) $255 3121%
Marion County Schools $255 3121%
Simply $434 5312%
Molina Healthcare $536 - $902 6561%
Evolutions $648 7931%
Evolutions Healthcare $648 7931%
Sunshine State Health Plan $719 8800%
Plotkin Health $1,410 17258%
Prime Health Sheriff $1,410 17258%
Multiplan $2,199 26916%
Ppo Next $2,397 29339%
Novanet $2,538 31065%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals