CMS Price Transparency Data

Blood test, liver function panel

Facility: Davis County Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $40
  • Cash Discount Price: $72
  • vs. Medicare Baseline: 4.90x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Davis County Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 4.90x the Medicare baseline. Located in 509 North Madison Street, Bloomfield, IA.
Cash / Self-Pay
$72

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $72 (881%)
Insurance Median: $40 (490%)
Cash: $72 (881% of Medicare)
Ins. Median: $40 (490% 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 490% of the Medicare baseline (a markup of 390%). 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 $10 122%
Aetna $36 441%
Choicecare Mcr Adv $39 477%
Home State Hlth Exch - All Other Plans $39 477%
Home State Hlth Mcr $39 477%
Mt Carmel Hp-All Plans $39 477%
Tricare $39 477%
Amerigroup Mcr Adv-All Other Plans $40 490%
American Hp Mcr Adv-All Plans $41 502%
Home State Hlth Mcaid $43 526%
Iowa Total Care Mcaid-All Plans $44 539%
Amerigroup Mcaid $45 551%
Molina Mcaid-All Plans $45 551%
Midlands Choice - All Plans $50 612%
Preferred Hlth Choices - All Plans $54 661%
Choicecare Comm - All Other Plans $68 832%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 509 North Madison Street, Bloomfield, IA 52537
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals