CMS Price Transparency Data

Blood test, liver function panel

Facility: Navicent Health Baldwin

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $66
Cash Discount Price: $51
vs. Medicare Baseline: 8.08x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Navicent Health Baldwin is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 8.08x the Medicare baseline. Located in 821 North Cobb Street, Milledgeville, GA.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

$66

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: $51 (624%)

Insurance Median: $66 (808%)

Cash: $51 (624% of Medicare)

Ins. Median: $66 (808% 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 808% of the Medicare baseline (a markup of 708%). 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 - $84	98%
Alliant	$8	98%
Blue Cross Blue Shield	$8 - $76	98%
Care Source	$8	98%
Clover	$8	98%
Eon Health	$8	98%
Georgia Health Advantage	$8	98%
Humana	$8 - $86	98%
Pruitt Health	$8	98%
UnitedHealthcare	$8 - $76	98%
Cigna	$17 - $78	208%
Securehealth	$20 - $35	245%
Ambetter / Centene	$30 - $52	367%
Multiplan	$66 - $81	808%
Novanet	$81	991%
Three Rivers Provider Network	$86	1053%

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 $51.
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 Navicent Health Baldwin 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.