CMS Price Transparency Data

Blood test, liver function panel

Facility: Shirley Ryan Abilitylab

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $231
  • Cash Discount Price: $230
  • vs. Medicare Baseline: 28.27x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Shirley Ryan Abilitylab is $231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $230. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 28.27x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.
Cash / Self-Pay
$230

Average discount available for prompt cash payment at this facility.

Insurance Median
$231

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: $230 (2815%)
Insurance Median: $231 (2827%)
Cash: $230 (2815% of Medicare)
Ins. Median: $231 (2827% 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 2827% of the Medicare baseline (a markup of 2727%). 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
Advocate Health Partners $8 98%
Aetna $8 - $15 98%
Health Care Services Corporation $8 - $184 98%
Humana $8 98%
Tricare $8 98%
UnitedHealthcare $8 98%
Wellcare Meridian Fide $8 98%
Blue Cross Blue Shield $15 - $179 184%
County Care $15 184%
Meridian Health Plan $15 184%
Hfn $190 - $346 2326%
Uic Physician Group-Campuscare $192 - $211 2350%
Corvel Corporation $196 2399%
Coventry Workers Comp $196 2399%
Multiplan $196 2399%
Paradigm Health Corporation $200 2448%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co $200 - $326 2448%
State Of Illinois $200 - $204 2448%
Uic Physician Group $211 - $311 2583%
Union Health Service $215 2632%
Cigna $220 - $236 2693%
Affordable Health Care Concepts $231 2827%
Loyola University Physician Foundation $250 3060%
University Of Chicago Practice Plan $250 3060%
Health Care Services Corporation Dba Managed Care Network Preferred $262 - $342 3207%
Advocate And Advocate Health Partners $269 3293%
Gallagher Benefit Administrators $288 3525%
Health Care Services Corporation D/B/A Hmo Illinois $300 3672%
Unicare Life And Health Insurance $300 3672%
Private Healthcare Systems $307 3758%
Resurrection Health Care Preferred $307 3758%
Cofinity Aka Ppom $326 3990%
Health Payors Organization $326 3990%
Healthnetwork $338 - $365 4137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 355 E Erie St, Chicago, IL 60611
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL