CMS Price Transparency Data

Blood test, liver function panel

Facility: Rush Memorial Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $193
Cash Discount Price: $216
vs. Medicare Baseline: 23.62x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Rush Memorial Hospital is $193. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $216. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 23.62x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$216

Average discount available for prompt cash payment at this facility.

Insurance Median

$193

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: $216 (2644%)

Insurance Median: $193 (2362%)

Cash: $216 (2644% of Medicare)

Ins. Median: $193 (2362% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2362% of the Medicare baseline (a markup of 2262%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Health Net	$85	1040%
Caresource Mcr Adv	$89	1089%
My True Advantage - All Plans	$89	1089%
UnitedHealthcare	$89 - $231	1089%
Aetna	$90 - $265	1102%
Humana	$90 - $265	1102%
Blue Cross Blue Shield	$92 - $211	1126%
Today'S Option Mcr Adv-All Plans	$92	1126%
Viant Beech St Mcr Adv	$92	1126%
Caresource Marketplace-All Other Plans	$143	1750%
Cigna	$231	2827%
Phcs-All Plans	$231	2827%
Consumers Life Ins-All Plans	$259	3170%
Coventry/First Health-All Plans	$259	3170%
Sagamore-All Plans	$265	3244%
Siho-All Plans	$265	3244%
Multiplan-All Plans	$268	3280%
Community Health Alliance-All Plans	$271	3317%
Encore Health Services-All Plans	$283	3464%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $216.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Rush Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.