CMS Price Transparency Data

Blood test, liver function panel

Facility: Doctors Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $230
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Doctors Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $230. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$230

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $230 (2815%)
Insurance Median: $9 (110%)
Cash: $230 (2815% of Medicare)
Ins. Median: $9 (110% 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
Aetna $7 - $127 86%
Blue Cross Blue Shield $7 - $9 86%
Humana $7 - $8 86%
Absolute Total Care $8 - $41 98%
Caresource $8 98%
Coventry $8 98%
Devoted Health $8 98%
Friday Health $8 98%
Health Net $8 98%
Healthspring $8 98%
Regency Hospice $8 98%
St Joseph Hospice $8 98%
United $8 - $103 98%
Wellcare $8 - $46 98%
Clover $9 110%
Eon Health $9 110%
Georgia Assurance $9 110%
Shared Health $9 110%
Health One Alliance $10 122%
Qtc Medical Group $10 122%
Ambetter / Centene $11 135%
Blue Choice $11 135%
Dept Of Community Health $12 147%
Amerigroup $33 404%
Nhc Advantage $44 539%
Pruitt Health $44 539%
Peach State $46 563%
Americas 1St Choice $64 783%
Centurion $64 783%
Medcost $115 - $147 1408%
Kaiser Permanente $126 1542%
Multiplan $138 - $207 1689%
Performax $156 1909%
First Health $172 2105%
Employer'S Health Network $184 2252%
Novanet $207 2534%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals