CMS Price Transparency Data

Blood test, liver function panel

Facility: HCA Florida Capital Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $13
  • Cash Discount Price: $969
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at HCA Florida Capital Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $969. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.59x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.
Cash / Self-Pay
$969

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: $969 (11860%)
Insurance Median: $13 (159%)
Cash: $969 (11860% 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
Humana $7 - $194 86%
Aetna $8 - $291 98%
Blue Cross Blue Shield $8 98%
Ndms Definitive Care $8 98%
United $8 - $436 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%
Ultimate Health Plan $9 110%
Wellcare $9 110%
Gadsden County Jail $10 122%
Longevity Health Plan $10 122%
Oscar $11 135%
Physician Network Association $11 135%
Simply Healthcare $13 159%
Naphcare $14 171%
Simply $149 1824%
Molina Healthcare $184 - $310 2252%
Avmed $233 - $485 2852%
Corvel Corporation $237 2901%
Prime Health $242 2962%
Sunshine State Health Plan $247 3023%
Careworks (Rockport Community) $249 3048%
Plotkin Health $485 5936%
Prime Health Sheriff $485 5936%
Multiplan $756 - $824 9253%
Evernorth $775 9486%
Evolutions Healthcare $824 10086%
Ppo Next $824 10086%
Novanet $872 10673%
Beacon Health Options $969 11860%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2626 Capital Medical Blvd, Tallahassee, FL 32308
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals