CMS Price Transparency Data

Blood test, liver function panel

Facility: Saint Francis Hospital-Evanston

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Saint Francis Hospital-Evanston is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 355 Ridge Ave, Evanston, IL.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $8 (98%)
Insurance Median: $9 (110%)
Cash: $8 (98% of Medicare)
Ins. Median: $9 (110% 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
Cigna $5 - $34 61%
Aetna $8 - $12 98%
Blue Cross Blue Shield $8 - $11 98%
Celtic (Wellcare) $8 98%
Clear Spring Health Of Illinois $8 98%
Devoted Health $8 98%
Essential Health Partners $8 - $9 98%
Humana $8 - $9 98%
Illinois Physicians Alliance $8 98%
Longevity Health Plan Of Illinois $8 98%
Medicare (plans) $8 98%
Molina $8 - $12 98%
Ravenswood Physicians Associates Ipa $8 98%
Resurrection Physicians Provider Group Ipa $8 - $10 98%
Self-Pay $8 98%
Tricare $8 98%
UnitedHealthcare $8 - $10 98%
Zing Health Provider Network $8 98%
Countycare $9 110%
Medicaid / KanCare $9 110%
Meridian $9 - $10 110%
Provider Partners Health Plan (Pphp) $9 110%
Access Community Health Network $10 122%
Imagine Health Network, Inc. $12 147%
Ambetter / Centene $13 159%
Clifton Health Systems $13 159%
Hfn Inc (Healthcare Finest Network) $181 2215%
Coventry $185 2264%
Workers Comp $185 2264%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 355 Ridge Ave, Evanston, IL 60202
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals