CMS Price Transparency Data

Blood test, liver function panel

Facility: Bluffton Regional Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $11
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Bluffton Regional Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.35x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $6 (73%)
Insurance Median: $11 (135%)
Cash: $6 (73% of Medicare)
Ins. Median: $11 (135% 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
Amish Aid $2 - $104 24%
Lutheran Preferred Network $2 - $348 24%
Self Pay $2 - $239 24%
Aetna $3 - $194 37%
Blue Cross Blue Shield $3 - $13 37%
Cigna $3 - $154 37%
Lutheran Trma $3 - $196 37%
Php Management Systems $3 - $168 37%
Encore Ppo $4 - $213 49%
Sagamore Health Newtork Inc $4 - $233 49%
Sagamore Sebt $4 - $222 49%
UnitedHealthcare $4 - $215 49%
Ahg Dana Employees $5 - $283 61%
Consumer Life $5 - $270 61%
Align Networks $6 - $304 73%
Northeast Hospice $6 - $304 73%
Physicians Health Plan $6 - $15 73%
Prime Health Services $6 - $326 73%
Private Healthcare Systems Inc $6 - $326 73%
Advantage 360 $7 - $361 86%
Allied Benefit Systems $7 - $392 86%
Cardinal Health Alliance $7 - $392 86%
Community Health Alliance $7 - $370 86%
Encore Health Network $7 - $392 86%
First Health $7 - $374 86%
Multiplan $7 - $348 86%
Ppom $7 - $392 86%
Tricare $7 - $8 86%
Caresource $8 98%
County Jail Health Care $8 98%
Department Of Veterans Affairs $8 98%
Humana $8 98%
In Dept Of Correction $8 98%
Medicaid / KanCare $8 98%
Medicare (plans) $8 98%
Mhs $8 98%
Mhs In Hip $8 98%
Node Caresource Mcr Adv $8 98%
Node Devoted Health Mcr Adv $8 98%
Node Iu Health Mcr Adv $8 98%
Node Mhs Mcr Adv $8 98%
Node Non Par Hospice Agree $8 98%
Node Va $8 98%
Php $8 - $16 98%
Php Freedom Network $8 - $15 98%
Veterans Eval Services $8 98%
Node Pphp Mcr Adv $9 110%
Us Department Of Labor $10 122%
Lutheran Advanced Network $12 147%
Lutheran Three Rivers Preferred Plus 150 $12 147%
Lutheran Three Rivers Preferred Plus 175 $14 171%
Encore Work Comp In $15 184%
Lutheran Northwest Health Preferred $16 196%
Managed Health Services Exchange $16 196%
Workers Compensation $16 196%
Encore Kba Epo $20 245%
Encore Kba Ppo $25 306%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals