CMS Price Transparency Data

Blood test, liver function panel

Facility: Eastern Idaho Regional Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $182
  • Cash Discount Price: $433
  • vs. Medicare Baseline: 22.28x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Eastern Idaho Regional Medical Center is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $433. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 22.28x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.
Cash / Self-Pay
$433

Average discount available for prompt cash payment at this facility.

Insurance Median
$182

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: $433 (5300%)
Insurance Median: $182 (2228%)
Cash: $433 (5300% of Medicare)
Ins. Median: $182 (2228% 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 2228% of the Medicare baseline (a markup of 2128%). 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 $7 - $412 86%
Molina $7 - $8 86%
Humana $8 - $364 98%
Prime Health $8 - $368 98%
Regence Blue Shield $8 98%
Rexburg Care And Rehab $8 98%
Triwest Healthcare Alliance $8 98%
United $8 - $250 98%
Veteran'S Administration $8 98%
Regence $13 159%
Select Health $131 1603%
Select Health Ichn Brightpath $131 - $146 1603%
Select Health Idaho (Eirmc Only) $138 1689%
Aetna $171 - $211 2093%
Doug Andrus Distributing $173 2118%
Pacificsource Health $182 - $232 2228%
University Of Utah $182 2228%
Mountain Health Co-Op $217 - $325 2656%
Cigna $238 2913%
First Choice Health Of Washington $260 3182%
Moda $270 3305%
Dmba $279 3415%
Geha Ppo Usa $347 4247%
Multiplan $364 - $390 4455%
First Choice Of The Midwest $390 4774%
Interwest Health $390 4774%
St. John'S Health Network $390 4774%
Coventry First Health $394 4823%
Shashone-Bannock Tribal Health $433 5300%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Channing Way, Idaho Falls, ID 83404
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals