CMS Price Transparency Data

Blood test, liver function panel

Facility: HCA Florida Lawnwood Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $25
  • Cash Discount Price: $1,667
  • vs. Medicare Baseline: 3.06x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at HCA Florida Lawnwood Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,667. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 3.06x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$1,667

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $1,667 (20404%)
Insurance Median: $25 (306%)
Cash: $1,667 (20404% of Medicare)
Ins. Median: $25 (306% 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 306% of the Medicare baseline (a markup of 206%). 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
Cigna $5 - $893 61%
Aetna $8 - $737 98%
Blue Cross Blue Shield $8 - $1,033 98%
Bright Health $8 - $419 98%
Careplus $8 98%
Devoted Health $8 98%
Humana $8 - $775 98%
Innovage Pace $8 98%
Kaiser $8 - $496 98%
Mutual Of Omaha $8 98%
Ndms Definitive Care $8 98%
Rocky Mountain Health $8 98%
Rocky Mountain Health Plan $8 98%
Total Longterm Care $8 98%
Triwest Health Alliance $8 98%
Ultimate Health Plan $8 98%
United $8 - $872 98%
United Behavioral Health $8 98%
Veterans Evaluation Services $8 98%
Wellcare $8 98%
Wellmed $8 98%
American Health Plan $9 110%
Centurion $9 110%
Delaware Life Insurance $9 110%
Florida Complete Care $9 110%
Prominence Healthfirst $9 110%
Sunshine State $9 110%
Amerihealth Caritas $10 122%
Longevity Health Plan $10 122%
Solis Health Plan $12 147%
Oscar $16 196%
Simply Healthcare $18 220%
Freedom Health $167 - $310 2044%
Optimum $167 2044%
Vail Health $212 2595%
Avmed $252 - $969 3084%
Simply Healthcare Plans $252 3084%
Corvel Corporation $265 3244%
Careworks (Rockport) $271 3317%
Prime Health $271 - $1,256 3317%
Molina $368 - $523 4504%
Health Sun Health Plan $413 5055%
Sunshine State Health Plan $494 6047%
Office Of Sheiff Highland Co $678 8299%
United Ppo $853 10441%
Western Plains Community Health $907 11102%
Plotkin Health $969 11860%
Prime Health Sherriff $969 11860%
Multiplan $977 - $1,647 11958%
Northcare $977 11958%
Physician Health Partners $977 11958%
Pinnacol Workers Comp $1,047 12815%
Medical Development International $1,117 13672%
Evernorth Bh $1,550 18972%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals