CMS Price Transparency Data

Blood test, liver function panel

Facility: Perry County Memorial Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $107
Cash Discount Price: $288
vs. Medicare Baseline: 13.10x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Perry County Memorial Hospital is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $288. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 13.10x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$288

Average discount available for prompt cash payment at this facility.

Insurance Median

$107

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: $288 (3525%)

Insurance Median: $107 (1310%)

Cash: $288 (3525% of Medicare)

Ins. Median: $107 (1310% 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 1310% of the Medicare baseline (a markup of 1210%). 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
Bc 130	$3 - $329	37%
Group Insurance	$3 - $412	37%
Nsa	$3 - $254	37%
Medicaid / KanCare	$8 - $412	98%
Medicare (plans)	$8 - $107	98%
Veterans Administration	$8 - $412	98%
Workers Compensation	$206	2521%
Guarantor Liable	$288 - $412	3525%
Pcmh Insurnace	$321 - $412	3929%
Secondary Insurance	$329	4027%
UnitedHealthcare	$329	4027%
Operating Engineers	$350	4284%
Boilermakers Healthcare	$358	4382%
Cigna	$358	4382%
Great West	$358 - $412	4382%
Sagxxxx	$358	4382%
Champus	$412	5043%
Ngs American, Inc	$412	5043%
Patoka Valley	$412	5043%
Southwire	$412	5043%
Tricare	$412	5043%
Wausau Benefits	$412	5043%

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 $288.
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 Perry County 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.