CMS Price Transparency Data

Blood test, liver function panel

Facility: Buena Vista Regional Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $15
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Buena Vista Regional Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.84x the Medicare baseline. Located in 1525 West 5Th Street, Storm Lake, IA.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $13 (159%)
Insurance Median: $15 (184%)
Cash: $13 (159% of Medicare)
Ins. Median: $15 (184% 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.

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
Ambetter / Centene $8 - $17 98%
Blue Cross Blue Shield $8 - $17 98%
Champus $8 - $9 98%
Champva $8 - $9 98%
Health Partners $8 - $17 98%
Humana $8 - $17 98%
Medicare (plans) $8 - $17 98%
UnitedHealthcare $8 - $17 98%
Wellcare $8 - $17 98%
Wellpoint $8 - $17 98%
American Postal Workers $12 - $14 147%
Avera $13 - $14 159%
Cigna $14 - $15 171%
Aetna $15 - $17 184%
First Administrators $15 - $16 184%
Golden Rule $15 - $16 184%
Great West $15 - $16 184%
Healthscope $15 - $16 184%
Iowa Health Advantage $15 - $17 184%
Medical Associates $15 - $16 184%
Meritain $15 - $16 184%
Midlands Choice $15 - $16 184%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1525 West 5Th Street, Storm Lake, IA 50588
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals