CMS Price Transparency Data

Blood test, liver function panel

Facility: Hammond Henry Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $139
Cash Discount Price: $169
vs. Medicare Baseline: 17.01x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Hammond Henry Hospital is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 17.01x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$169

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $169 (2069%)

Insurance Median: $139 (1701%)

Cash: $169 (2069% of Medicare)

Ins. Median: $139 (1701% 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 1701% of the Medicare baseline (a markup of 1601%). 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
Quad City Community Hc-All Plans	$15	184%
Aetna	$17 - $141	208%
Blue Cross Blue Shield	$17 - $113	208%
Meridian Health Plan-All Plans	$17	208%
Geneseo Good Samaritan Village Op Only-All Plans	$41	502%
Tricare	$49	600%
Health Alliance Mcare Adv	$55	673%
Humana	$55 - $169	673%
UnitedHealthcare	$55 - $139	673%
Wellmark Of Ia-All Plans	$94	1151%
Springfield Armory-All Plans	$122	1493%
Ambetter / Centene	$132	1616%
Health Alliance-All Other Plans	$141	1726%
Multiplan Integrated Hp	$141	1726%
Cigna	$145	1775%
Multiplan Pponext	$150	1836%
Osf Direct Access Network-All Plans	$150	1836%
Multiplan-All Other Plans	$160	1958%
Corvel-All Plans	$169	2069%
Healthsmart Adult-All Other Plans	$169	2069%
Healthsmart Pediatric	$169	2069%
Hfn-All Plans	$169	2069%
Multiplan Beech Street	$169	2069%
Multiplan Phcs Adult	$169	2069%
Multiplan Phcs Pediatric	$169	2069%
Usa Mco-All Plans	$169	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 $169.
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 Hammond Henry 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.