CMS Price Transparency Data

Blood test, liver function panel

Facility: St Marys Good Samaritan Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $44
Cash Discount Price: $107
vs. Medicare Baseline: 5.39x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at St Marys Good Samaritan Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 5.39x the Medicare baseline. Located in 5401 Lake Oconee Parkway, Greensboro, GA.

Cash / Self-Pay

$107

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

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: $107 (1310%)

Insurance Median: $44 (539%)

Cash: $107 (1310% of Medicare)

Ins. Median: $44 (539% 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 539% of the Medicare baseline (a markup of 439%). 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
Amerigroup	$10	122%
Blue Cross Blue Shield	$32 - $118	392%
Aetna	$44 - $131	539%
Ambetter / Centene	$44	539%
Care Improvement Plus	$44	539%
Caresource	$44	539%
Cigna	$44 - $134	539%
Coventry	$44 - $123	539%
Eon Health Plan	$44	539%
Humana	$44 - $123	539%
Kaiser Permanente	$44	539%
Molina	$44	539%
Pruitthealth Premier	$44	539%
Todays Options Pffs	$44	539%
Todays Options Ppo	$44	539%
UnitedHealthcare	$44 - $2,632	539%
Vaccn United	$44	539%
Wellcare	$44	539%
First Health	$123	1506%
Phcs	$123	1506%
Meritain	$131	1603%
Multiplan	$139 - $143	1701%
Nova	$139 - $148	1701%
Three Rivers Provider Network	$148	1812%

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 $107.
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 St Marys Good Samaritan 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.