CMS Price Transparency Data

Blood test, liver function panel

Facility: Atrium Health Floyd Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $196
Cash Discount Price: $360
vs. Medicare Baseline: 23.99x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Atrium Health Floyd Medical Center is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $360. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 23.99x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$360

Average discount available for prompt cash payment at this facility.

Insurance Median

$196

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: $360 (4406%)

Insurance Median: $196 (2399%)

Cash: $360 (4406% of Medicare)

Ins. Median: $196 (2399% 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 2399% of the Medicare baseline (a markup of 2299%). 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	$8 - $490	98%
Blue Cross Blue Shield	$8 - $540	98%
Caresource	$8 - $123	98%
Cigna	$8 - $432	98%
Clover	$8	98%
Georgia Assurance	$8	98%
Humana	$8 - $468	98%
Occunet	$8	98%
UnitedHealthcare	$8 - $540	98%
Wellcare	$8	98%
Peach State Health Plan	$10	122%
Alliant Health Plans	$12 - $288	147%
Ambetter / Centene	$12	147%
Amerigroup	$122	1493%
Awc Networks	$140	1714%
Oscar Health Plan	$140 - $252	1714%
Beacon	$360	4406%
Evernorth	$360	4406%
Multiplan	$504	6169%
Beech Street	$562	6879%
Private Health Care Systems	$612	7491%

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 $360.
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 Atrium Health Floyd Medical Center 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.