CMS Price Transparency Data

Blood test, liver function panel

Facility: Deaconess Illinois Crossroads

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $29
  • Cash Discount Price: $155
  • vs. Medicare Baseline: 3.55x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Deaconess Illinois Crossroads is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 3.55x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$155

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $155 (1897%)
Insurance Median: $29 (355%)
Cash: $155 (1897% of Medicare)
Ins. Median: $29 (355% 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 355% of the Medicare baseline (a markup of 255%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $4 - $335 49%
UnitedHealthcare $5 - $409 61%
Aetna $8 - $557 98%
Alliance Coal $8 - $9 98%
Care Improvement Plus $8 98%
Deaconess Onecare $8 - $374 98%
Encore Combined $8 - $430 98%
Encore Prime/Elite/Elite + $8 - $387 98%
Humana $8 - $550 98%
Meridian Health Plan $8 98%
Molina Healthcare Of Illinois $8 98%
Mytru Advantage $8 98%
Umwa $8 98%
Wellcare $8 98%
Alter-Net Medical Services, Inc. $13 - $247 159%
Noncontracted $13 159%
Self-Pay $16 - $155 196%
Cigna $18 - $274 220%
Hope Trust $23 - $247 282%
Prime Health Services $34 - $529 416%
Guardian Resources, Inc. $39 - $593 477%
Healthcare'S Finest Network (Hfn) $39 - $600 477%
Medicalcontrol Network Solutions $39 - $600 477%
National Provider Network $39 - $600 477%
Beech Street $40 - $621 490%
Three Rivers Provider Network $40 - $614 490%
Wexford Health Sources $317 - $494 3880%
Great West Healthcare Of Illinois $529 6475%
Multiplan - Primary Network - Phcs $554 6781%
Healthlink $564 - $600 6903%
Coventry Healthcare $594 7271%
First Health $594 7271%
Multiplan - Complementary Network $602 7368%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals