CMS Price Transparency Data

Blood test, liver function panel

Facility: St Joseph Health System, LLC

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $7
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at St Joseph Health System, LLC is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.86x the Medicare baseline. Located in 702 Van Buren St., Fort Wayne, IN.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $5 (61%)
Insurance Median: $7 (86%)
Cash: $5 (61% of Medicare)
Ins. Median: $7 (86% 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.

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 $1 - $307 12%
Amish Aid $1 - $108 12%
Encore Ppo $1 - $407 12%
Lutheran Network $1 - $249 12%
Lutheran Preferred $1 - $271 12%
Multiplan $1 - $353 12%
Sagamore $1 - $245 12%
Self Pay $1 - $249 12%
UnitedHealthcare $1 - $225 12%
Advantage Health Solutions $2 - $375 24%
Align Network $2 - $362 24%
Allied Benefit Systems $2 - $407 24%
Blue Cross Blue Shield $2 - $164 24%
Cigna $2 - $452 24%
Department Of Veterans Affairs $2 - $8 24%
First Health $2 - $339 24%
Frontpath Health Coalition $2 - $362 24%
Humana $2 - $8 24%
In Dept Of Correction $2 - $8 24%
Managed Health Services $2 - $16 24%
Medical Mutual Of Ohio $2 - $452 24%
Medicare (plans) $2 - $8 24%
Node Devoted Health Mcr Adv $2 - $8 24%
Node Hospice Non Par Agree $2 - $8 24%
Node Pphp Mcr Adv $2 - $9 24%
Node Va $2 - $8 24%
Parkview Healthplan Services $2 - $452 24%
Php $2 - $181 24%
Php Freedom Network $2 - $15 24%
Prime Health Services $2 - $339 24%
Three Rivers $2 - $203 24%
Tricare $2 - $8 24%
Value Options $2 - $452 24%
Veterans Eval Services $2 - $8 24%
Lutheran Advanced Network $3 - $12 37%
Us Department Of Labor $3 - $10 37%
Encore Work Comp In $4 - $15 49%
Work Comp $4 - $16 49%
Encore Kba Epo $5 - $20 61%
Encore Kba Ppo $6 - $25 73%
Caresource $8 98%
Medicaid / KanCare $8 98%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals