CMS Price Transparency Data

Blood test, liver function panel

Facility: Fayette County Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $167
  • Cash Discount Price: $257
  • vs. Medicare Baseline: 20.44x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Fayette County Hospital is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $257. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 20.44x the Medicare baseline. Located in 650 W Taylor St, Vandalia, IL.
Cash / Self-Pay
$257

Average discount available for prompt cash payment at this facility.

Insurance Median
$167

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: $257 (3146%)
Insurance Median: $167 (2044%)
Cash: $257 (3146% of Medicare)
Ins. Median: $167 (2044% 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 2044% of the Medicare baseline (a markup of 1944%). 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
Aetna $14 - $177 171%
Blue Cross Blue Shield $14 - $216 171%
Illinicare - All Plans $14 171%
Medicaid / KanCare $14 171%
Meridian-All Plans $14 171%
Health Alliance Mcare $82 1004%
Healthlink Mcr Adv $82 1004%
Humana $82 1004%
Coventry/Ghp-All Plans $167 2044%
Healthlink Hmo $180 2203%
Cigna $193 2362%
Healthlink Ppo - All Other Plans $206 2521%
Health Alliance - All Other Plans $212 2595%
UnitedHealthcare $213 2607%
Multiplan - All Plans $218 2668%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 650 W Taylor St, Vandalia, IL 62471
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals