CMS Price Transparency Data

Blood test, liver function panel

Facility: The Women's Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $281
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at The Women's Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $281. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$281

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: $281 (3439%)
Insurance Median: $8 (98%)
Cash: $281 (3439% 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
Amish $3 - $16 37%
Blue Cross Blue Shield $3 - $8 37%
UnitedHealthcare $5 - $382 61%
Aetna $8 - $110 98%
Caresource $8 98%
Caresource Hip $8 98%
Caresource In $8 98%
Chamber Care $8 - $28 98%
Humana $8 98%
Iu Health $8 - $239 98%
Mdwise Hip $8 98%
Meridian Health Il $8 98%
Mhs $8 98%
Mhs Behavioral $8 98%
Molina Il $8 98%
Molina Ky $8 98%
Molina Ky Dual $8 98%
Passport Molina Ky $8 - $110 98%
Patoka Valley Health Care (80/20 Plan) $8 98%
Patoka Valley Health Care (90/10 Plan) $8 98%
Wellcare Ky $8 - $110 98%
Alliance Coal $9 - $331 110%
Ambetter / Centene $9 - $13 110%
Allied National/Zelis - Freedom Plan $11 - $20 135%
Caresource Marketplace (Just4Me) $11 - $12 135%
Hst $11 - $12 135%
One Care $11 - $334 135%
Claimdoc $12 147%
Encorecombined $13 - $334 159%
Encoreprime $13 - $324 159%
Hope Trust $13 159%
Noncontracted $13 159%
Cigna $14 - $343 171%
Claritev (Formerly Phcs/Mulitplan) $14 - $329 171%
First Health/Coventry $14 - $353 171%
Healthlink $14 - $406 171%
Sagamore $14 - $343 171%
Self Pay $16 - $281 196%
Center Care $28 - $372 343%
Immergrun $199 2436%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals