CMS Price Transparency Data

Blood test, liver function panel

Facility: Fhn Memorial Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $200
Cash Discount Price: $229
vs. Medicare Baseline: 24.48x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Fhn Memorial Hospital is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $229. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 24.48x the Medicare baseline. Located in 1045 West Stephenson Street, Freeport, IL.

Cash / Self-Pay

$229

Average discount available for prompt cash payment at this facility.

Insurance Median

$200

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: $229 (2803%)

Insurance Median: $200 (2448%)

Cash: $229 (2803% of Medicare)

Ins. Median: $200 (2448% 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 2448% of the Medicare baseline (a markup of 2348%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Meridian Health Plan - All Plans	$6	73%
Aetna	$8 - $160	98%
Health Alliance Mcr Adv	$8	98%
Humana	$8 - $227	98%
Quartz Mcr Adv	$8	98%
UnitedHealthcare	$8 - $224	98%
The Alliance - All Plans	$172	2105%
Ecoh Nihp	$181	2215%
Nihp Employ - All Plans	$181	2215%
Quartz - All Other Plans	$186	2277%
Blue Cross Blue Shield	$193	2362%
Ecoh - All Other Plans	$195	2387%
Northern Il Hp - All Plans	$198	2424%
First Health - All Plans	$202	2472%
Hfn - All Plans	$235	2876%
First Choice Il - All Plans	$244	2987%
Multiplan Phcs - All Plans	$244	2987%
Wps - All Plans	$251	3072%
Galaxy - All Plans	$258	3158%
Health Alliance - All Other Plans	$258	3158%
Interplan Health - All Plans	$258	3158%
Preferred Plan Ppo - All Plans	$258	3158%
Trustmark - All Plans	$264	3231%
Midland Choice - All Plans	$272	3329%
Osf Healthplans - All Plans	$287	3513%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $229.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fhn Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.