CMS Price Transparency Data

Blood test, liver function panel

Facility: HCA Florida Palms West Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $267
  • Cash Discount Price: $2,559
  • vs. Medicare Baseline: 32.68x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at HCA Florida Palms West Hospital is $267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,559. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 32.68x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.
Cash / Self-Pay
$2,559

Average discount available for prompt cash payment at this facility.

Insurance Median
$267

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: $2,559 (31322%)
Insurance Median: $267 (3268%)
Cash: $2,559 (31322% of Medicare)
Ins. Median: $267 (3268% 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 3268% of the Medicare baseline (a markup of 3168%). 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
Aetna $8 - $768 98%
Blue Cross Blue Shield $8 98%
Careplus Sfl $8 98%
Devoted Health $8 98%
Humana $8 - $870 98%
Ndms Definitive Care $8 98%
United $8 - $1,152 98%
Veterans Evaluation Services $8 98%
Wellmed $8 98%
Align $9 110%
American Health Plan $9 110%
Centurion $9 110%
Cigna $9 110%
Doctors Healthcare Plan $9 110%
Florida Complete Care $9 110%
Gold Kidney $9 110%
Oscar $9 - $12 110%
Prominence Healthfirst $9 110%
Sunshine State $9 110%
Amerihealth Caritas $10 - $12 122%
Longevity Health Plan $10 122%
Simply Healthcare $10 122%
Solis Health Plan $12 147%
Freedom Health $220 - $409 2693%
Optimum $220 2693%
Corvel Corporation $267 3268%
Careworks (Rockport) $273 3341%
Prime Health $273 3341%
Avmed $333 - $1,280 4076%
Simply Healthcare Plans $333 4076%
Molina $486 - $691 5949%
Health Sun Health Plan $545 6671%
Healthy Palm Beaches $550 6732%
Aids Healthcare $563 - $3,071 6891%
Mmm Of Fl (Health Advantage Plan) $589 7209%
United Ppo $606 7417%
Sunshine State Health Plan $665 8140%
Health Care District $1,280 15667%
Palm Beach Juvenile Correction $1,280 15667%
Plotkin Health $1,280 15667%
Prime Health Sherriff $1,280 15667%
Medica Healthcare $1,484 18164%
Multiplan $1,919 - $2,175 23488%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13001 Southern Blvd, Loxahatchee, FL 33470
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals