CMS Price Transparency Data

Blood test, liver function panel

Facility: Atrium Health Navicent Peach

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $144
  • Cash Discount Price: $122
  • vs. Medicare Baseline: 17.63x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Atrium Health Navicent Peach is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 17.63x the Medicare baseline. Located in 1960 Highway 247 Connector, Byron, GA.
Cash / Self-Pay
$122

Average discount available for prompt cash payment at this facility.

Insurance Median
$144

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: $122 (1493%)
Insurance Median: $144 (1763%)
Cash: $122 (1493% of Medicare)
Ins. Median: $144 (1763% 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 1763% of the Medicare baseline (a markup of 1663%). 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
Blue Cross Blue Shield $10 - $51 122%
Cigna $17 - $178 208%
Securehealth $20 - $159 245%
Aetna $21 - $144 257%
Humana $21 - $207 257%
Georgia Health Advantage $51 624%
Pruitt Health $51 624%
UnitedHealthcare $51 - $154 624%
Care Source $52 636%
Clover $52 636%
Eon Health $52 636%
Ambetter / Centene $73 - $124 894%
Alliant $120 1469%
Multiplan $159 - $195 1946%
Novanet $195 2387%
Three Rivers Provider Network $207 2534%
Beechstreet $227 2778%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1960 Highway 247 Connector, Byron, GA 31008
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals