CMS Price Transparency Data

Blood test, liver function panel

Facility: Salem Township Hospital

Billing Code: 80076 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$64
about 8.0× the $8 Medicare rate · typically $11–$80
modeled estimate · not a bill or quote
Medicare pays $8 Fair price $64 Cash price $137 Hospital's list price $341

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $75 - $273 918%
Blue Cross Blue Shieldmajor $67 820%
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1201 Ricker Drive, Salem, IL 62881
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals