CMS Price Transparency Data

Blood test, liver function panel

Facility: Northwest Health - Starke

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Northwest Health - Starke is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 102 E Culver Rd, Knox, IN.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $75 (918%)
Insurance Median: $8 (98%)
Cash: $75 (918% of Medicare)
Ins. Median: $8 (98% 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
Lutheran $2 - $144 24%
Self Pay $2 - $294 24%
Blue Cross Blue Shield $3 - $13 37%
Medpartners $3 - $179 37%
Alpha Baking $4 - $241 49%
Physicians Health Plan $4 - $221 49%
Php $5 - $322 61%
Encore $6 - $465 73%
UnitedHealthcare $6 - $379 73%
Aetna $7 - $463 86%
Multiplan Inc $7 - $481 86%
Caresource $8 98%
Cigna $8 - $444 98%
Community Health Alliance $8 - $481 98%
Coventry First Health $8 - $463 98%
Humana $8 98%
In Dept Of Correction $8 98%
Lutheran Network $8 - $471 98%
Managed Health Services $8 - $16 98%
Medicaid / KanCare $8 98%
Medicare (plans) $8 98%
Mhs $8 98%
Node Champva $8 98%
Node Devoted Health Mcr Adv $8 98%
Node Hospice Non Par Agree $8 98%
Node Va $8 98%
Sagamore Health Network $8 - $471 98%
Tricare $8 98%
Node Pphp Mcr Adv $9 110%
Ppom $9 - $503 110%
Us Department Of Labor $10 122%
Indiana Workers Comp $16 196%
Encore Kba Epo $20 245%
Magnacare Ma $20 245%
Encore Kba Ppo $25 306%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 102 E Culver Rd, Knox, IN 46534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals