CMS Price Transparency Data

Blood test, liver function panel

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $305
Cash Discount Price: $357
vs. Medicare Baseline: 37.33x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at University of Iowa Health Care Medical Center Down is $305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $357. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 37.33x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.

Cash / Self-Pay

$357

Average discount available for prompt cash payment at this facility.

Insurance Median

$305

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: $357 (4370%)

Insurance Median: $305 (3733%)

Cash: $357 (4370% of Medicare)

Ins. Median: $305 (3733% 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 3733% of the Medicare baseline (a markup of 3633%). 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 - $305	98%
Blue Cross Blue Shield	$8 - $245	98%
Healthpartners	$8 - $434	98%
Iowa Total Care	$8	98%
Molina Healthcare	$8	98%
UnitedHealthcare	$8 - $216	98%
Wellpoint (Amerigroup)	$8 - $9	98%
Immergrun	$128	1567%
Medical Associates	$194 - $255	2375%
Quad City Community Healthcare	$255 - $382	3121%
Midlands Choice	$268 - $332	3280%
Oscar Health	$321	3929%
Great River Health Systems	$332 - $357	4064%
Aplos Health Plan	$408	4994%
Sedgwick	$408	4994%
Global Excel	$434	5312%
Sanford Health Plan	$434	5312%
Sisco	$449	5496%
Employee Benefit Systems	$459	5618%
Healthsmart	$459	5618%
Hfn	$469	5741%
Multiplan	$469	5741%

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 $357.
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 University of Iowa Health Care Medical Center Down 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.