CMS Price Transparency Data

Blood test, liver function panel

Facility: Kosciusko Community Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $10
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Kosciusko Community Hospital is $10. 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 1.22x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $10 (122%)
Cash: $5 (61% of Medicare)
Ins. Median: $10 (122% 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 - $76 24%
Self Pay $2 - $142 24%
Blue Cross Blue Shield $3 - $13 37%
Lutheran Preferred Network $3 - $291 37%
Aetna $4 - $194 49%
Encore $4 - $146 49%
Php Freedom Network $4 - $141 49%
Physicians Health Plan $4 - $168 49%
Trma Inc $4 - $164 49%
UnitedHealthcare $4 - $191 49%
Cigna $6 - $230 73%
Connecticut General Life Insurance Company $6 - $214 73%
Advantage Health $8 - $302 98%
Caresource $8 98%
Department Of Veterans Affairs $8 98%
First Health Network $8 - $273 98%
Humana $8 98%
In Dept Of Correction $8 98%
Iu Health $8 98%
Managed Health Services $8 98%
Medicaid / KanCare $8 98%
Medicare (plans) $8 98%
Mhs $8 98%
Node Devoted Health Mcr Adv $8 98%
Node Non Par Hospice Agree $8 98%
Node Va $8 98%
Prime Health Services $8 - $273 98%
Tricare $8 98%
Veterans Eval Services $8 98%
Encore Health Network $9 - $339 110%
Node Pphp Mcr Adv $9 110%
Private Healthcare Systems $9 - $313 110%
Sagamore $9 - $342 110%
Us Department Of Labor $10 122%
Lutheran Advanced Network $12 147%
Lutheran Preferred $12 - $16 147%
Align In Work Comp $13 159%
One Call Work Comp $13 159%
Encore Work Comp In $15 184%
Managed Health Services Exchange $16 196%
Workers Comp $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: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals