CMS Price Transparency Data

Blood test, liver function panel

Facility: Fishermen's Community Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $334
Cash Discount Price: $384
vs. Medicare Baseline: 40.88x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Fishermen's Community Hospital is $334. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $384. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 40.88x the Medicare baseline. Located in 3301 Overseas Hwy, Marathon, FL.

Cash / Self-Pay

$384

Average discount available for prompt cash payment at this facility.

Insurance Median

$334

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: $384 (4700%)

Insurance Median: $334 (4088%)

Cash: $384 (4700% of Medicare)

Ins. Median: $334 (4088% 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 4088% of the Medicare baseline (a markup of 3988%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$5 - $452	61%
Amerigroup	$5	61%
Medicaid / KanCare	$5	61%
Sunshine State	$5	61%
UnitedHealthcare	$5 - $590	61%
Vista	$5	61%
Wellcare	$5	61%
Blue Cross Blue Shield	$99 - $590	1212%
Leon Medical	$124	1518%
Medica Health Plan	$124	1518%
Medicare (plans)	$124 - $167	1518%
Humana	$135	1652%
Avmed	$136 - $489	1665%
Cigna	$141 - $472	1726%
Non Contracted	$217	2656%
International	$384	4700%
Amerihealth	$442	5410%
Dimension Health Plan	$442 - $531	5410%
Affordable	$531	6499%
Phcs	$531	6499%
Quality Health	$531	6499%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $384.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fishermen's Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.