CMS Price Transparency Data

Blood test, liver function panel

Facility: The Orthopaedic Hospital of Lutheran Health Networ

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $16
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at The Orthopaedic Hospital of Lutheran Health Networ is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.96x the Medicare baseline. Located in 7952 W Jefferson Blvd, Ft Wayne, IN.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $95 (1163%)
Insurance Median: $16 (196%)
Cash: $95 (1163% of Medicare)
Ins. Median: $16 (196% 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
Blue Cross Blue Shield $3 - $13 37%
UnitedHealthcare $7 - $173 86%
Aetna $8 - $170 98%
Caresource $8 98%
Department Of Veterans Affairs $8 98%
Humana $8 98%
In Dept Of Correction $8 98%
Iu Health Plan $8 98%
Managed Health Services $8 - $16 98%
Medicaid / KanCare $8 98%
Medicare (plans) $8 98%
Mhs $8 98%
Node Devoted Health Mcr Adv $8 98%
Node Hospice Non Par Agree $8 98%
Node Mhs Mcr Adv $8 98%
Node Va $8 98%
One Call Work Comp $8 98%
Police And Sheriff $8 98%
Small Business Aid $8 98%
Tricare $8 98%
Node Pphp Mcr Adv $9 110%
Node Us Dept Of Labor $10 122%
Lutheran Advanced Network $12 147%
Lutheran Preferred $12 - $210 147%
Node Lutheran Three Rivers Preferred Plus 150 $12 147%
Occunet In Work Comp $12 147%
Align Network $13 159%
Node Lutheran Three Rivers Preferred Plus 175 $14 171%
Encore Wc $15 184%
Medrisk In Work Comp $15 184%
Php Freedom Network $15 184%
Physicians Health Plan $15 - $136 184%
Prime Health Services $15 - $262 184%
Three Rivers Preferred In Work Comp $15 184%
In Work Comp $16 196%
Lutheran Network $16 196%
Objective Surgical $16 196%
Encore Kba Epo $20 245%
Encore Kba Ppo $25 306%
Amish Aid $94 1151%
Self Pay $94 1151%
Cigna $123 - $350 1506%
Three Rivers Preferred $140 - $158 1714%
Sagamore $168 - $189 2056%
Encore Ppo $175 2142%
Multiplan $242 - $273 2962%
First Health $270 3305%
Encore $280 3427%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7952 W Jefferson Blvd, Ft Wayne, IN 46804
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals