CMS Price Transparency Data

Blood test, liver function panel

Facility: Idaho Falls Community Hospital, LLC

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $156
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Idaho Falls Community Hospital, LLC is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 2327 Coronado St, Idaho Falls, ID.
Cash / Self-Pay
$156

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $156 (1909%)
Insurance Median: $8 (98%)
Cash: $156 (1909% of Medicare)
Ins. Median: $8 (98% 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
Aetna $8 98%
Anasazi Medical Payment Solutions $8 98%
Blue Cross Blue Shield $8 - $19 98%
Humana $8 98%
Molina Healthcare $8 98%
Mount Carmel Health Plan $8 98%
Pacificsource $8 98%
Regence Blue Shield Of Id Community Care $8 98%
Selecthealth $8 98%
UnitedHealthcare $8 98%
Moda $18 220%
Mountain Health Co-Op $22 269%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2327 Coronado St, Idaho Falls, ID 83404
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals