CMS Price Transparency Data

Blood test, liver function panel

Facility: Anderson Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $13
  • Cash Discount Price: $184
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Anderson Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $184. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.59x the Medicare baseline. Located in 6800 State Route 162, Maryville, IL.
Cash / Self-Pay
$184

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $184 (2252%)
Insurance Median: $13 (159%)
Cash: $184 (2252% of Medicare)
Ins. Median: $13 (159% 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 - $13 98%
Clear Springs Health $8 98%
Devoted Health Ppo $8 98%
Essence $8 98%
Humana $8 98%
Medicaid / KanCare $8 - $9 98%
Medicare (plans) $8 98%
Tricare $8 98%
UnitedHealthcare $8 - $13 98%
Health Care Service Corporation $10 - $169 122%
Ambetter / Centene $12 147%
Blue Choice $12 147%
Mercy Aco $14 171%
Mercy Benefit Admin $14 171%
Hopetrust $20 245%
Work Comp $43 - $26,600 526%
Healthlink $45 551%
Self Pay $184 - $25,000 2252%
Blue Cross Blue Shield $198 - $205 2424%
Cigna $277 3390%
Multiplan/Phcs $277 3390%
Beech Street Corporation $332 4064%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 State Route 162, Maryville, IL 62062
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals