CMS Price Transparency Data

Blood test, liver function panel

Facility: Dallas County Hospital

Billing Code: 80076 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$53
about 6.6× the $8 Medicare rate · typically $11–$72
modeled estimate · not a bill or quote
Medicare pays $8 Fair price $53 Cash price $101 Hospital's list price $156

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $72 - $133 881%
Blue Cross Blue Shieldmajor $80 979%
Aetnamajor $70 857%
Humanamajor $70 857%
Molina $80 979%
+ 1 smaller / regional plan $80
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 610 Tenth Street, Perry, IA 50220
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals