CMS Price Transparency Data

Blood test, liver function panel

Facility: Warner Hospital and Health Services

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $151
Cash Discount Price: $222
vs. Medicare Baseline: 18.48x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Warner Hospital and Health Services is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $222. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 18.48x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$222

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $222 (2717%)

Insurance Median: $151 (1848%)

Cash: $222 (2717% of Medicare)

Ins. Median: $151 (1848% 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 1848% of the Medicare baseline (a markup of 1748%). 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	$28 - $198	343%
Blue Cross Blue Shield	$28 - $228	343%
Harmony Hp Mcaid-All Plans	$28	343%
Medicaid / KanCare	$28	343%
Meridian Hp-All Plans	$28	343%
Molina-All Other Plans	$28	343%
Health Alliance Med Adv	$73 - $96	894%
Humana	$73 - $198	894%
Molina Mcr/Mcd Dual	$73 - $96	894%
UnitedHealthcare	$73 - $198	894%
Wellcare Mcr Adv-All Plans	$73 - $96	894%
Healthlink Hmo	$139 - $182	1701%
City Of Clinton (Employees Serv)-All Plans	$142 - $187	1738%
Cigna	$148 - $194	1812%
Caterpillar-All Plans	$151 - $198	1848%
Multiplan Phcs-All Plans	$151 - $198	1848%
Health Alliance-All Other Plans	$157 - $205	1922%
Healthlink Ppo/Work Comp-All Other Plans	$157 - $205	1922%
Consociate Care Ppo-All Plans	$160 - $210	1958%
Hfn Ppo/Epo-All Plans	$160 - $210	1958%
Three Rivers-All Plans	$169 - $221	2069%

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 $222.
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 Warner Hospital and Health Services 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.