CMS Price Transparency Data

Blood test, liver function panel

Facility: Montgomery County Memorial Hospital

Billing Code: 80076 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$39
about 4.9× the $8 Medicare rate · typically $9–$85
modeled estimate · not a bill or quote
Medicare pays $8 Fair price $39 Cash price $84 Hospital's list price $120

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $8 98%
Blue Cross Blue Shieldmajor $61 - $77 747%
Aetnamajor $114 1395%
Medica $62 - $102 759%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2301 Eastern Avenue, Red Oak, IA 51566
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals