CMS Price Transparency Data

Blood test, liver function panel

Facility: HCA Florida Fawcett Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $13
  • Cash Discount Price: $963
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at HCA Florida Fawcett Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $963. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.59x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.
Cash / Self-Pay
$963

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $963 (11787%)
Insurance Median: $13 (159%)
Cash: $963 (11787% of Medicare)
Ins. Median: $13 (159% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $2 - $89 24%
Access 2 Healthcare Physicians Freedom Health $3 - $136 37%
Access 2 Healthcare Physicians Optimum $3 - $136 37%
Avmed $3 - $473 37%
Freedom Health Care $3 - $147 37%
Optimum Healthcare $3 - $147 37%
Simply Healthcare $5 - $291 61%
United $6 - $851 73%
Humana $7 - $529 86%
Molina $7 - $510 86%
Aetna $8 - $567 98%
Blue Cross Blue Shield $8 98%
Caresource $8 98%
Evolutions Healthcare Systems $8 - $1,739 98%
Ndms Definitive Care $8 98%
Ultimate Health Plan $8 98%
United Va Ccn $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%
Secur $9 110%
Sunshine State $9 110%
Sunshine State Health Plan $9 - $482 110%
Wellcare $9 110%
Oscar $13 159%
Behealthy America $14 - $737 171%
Healthcare Sarasota $18 - $945 220%
Plotkin Health $18 - $945 220%
Prime Health Sheriff $18 - $945 220%
Multiplan $26 - $1,607 318%
Corvel Corporation $250 3060%
Rockport Healthcare Group $250 3060%
Prime Health $256 3133%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 21298 Olean Blvd, Port Charlotte, FL 33952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals