CMS Price Transparency Data

Blood test, liver function panel

Facility: Memorial Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $48
Cash Discount Price: $53
vs. Medicare Baseline: 5.88x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Memorial Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 5.88x the Medicare baseline. Located in 4500 Memorial Drive, Belleville, IL.

Cash / Self-Pay

$53

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $53 (649%)

Insurance Median: $48 (588%)

Cash: $53 (649% of Medicare)

Ins. Median: $48 (588% 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 588% of the Medicare baseline (a markup of 488%). 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
Aetna	$8 - $66	98%
Essence Healthcare [221]	$8	98%
Humana	$8 - $23	98%
UnitedHealthcare	$8 - $65	98%
Blue Cross Blue Shield	$9 - $77	110%
Cox Health [757]	$9	110%
Devoted Health Plan [847]	$9	110%
Medica [662]	$9	110%
Healthscope Benefits [258]	$10	122%
Cigna	$11 - $17	135%
Allied Benefits [498]	$14 - $65	171%
Consociate [478]	$14	171%
Coresource [497]	$14	171%
Fmh Benefit Service Inc [222]	$14	171%
Mail Handlers [495]	$14	171%
Sarah Bush Lincoln [636]	$14	171%
Apwu Health Plan [216]	$17	208%
Nalc Health Benefit Plan [242]	$17	208%
Priority Health [648]	$17	208%
Healthlink [225]	$43 - $66	526%
Cox Health Systems Insurance Company [220]	$48 - $57	588%
Health Alliance [224]	$48	588%
Hope Trust [806]	$51	624%
Med-Pay [480]	$57 - $66	698%
Unicare [568]	$57 - $66	698%
First Health Commercial [734]	$65	796%
Beechstreet [551]	$66	808%
Detego Health [868]	$66	808%
Health Systems Inc [620]	$66	808%
Healthcare Sol Mercy [609]	$66	808%
Multiplan Commercial [737]	$66	808%
Multiplan [240]	$66	808%
Phcs [244]	$66 - $70	808%
Preferred Health Professionals [561]	$66	808%
Hfn [563]	$70	857%
Medica [661]	$70	857%

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 $53.
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 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.