CMS Price Transparency Data

Blood test, liver function panel

Facility: Harrison County Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $43
Cash Discount Price: $123
vs. Medicare Baseline: 5.26x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Harrison County Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 5.26x the Medicare baseline. Located in 245 Atwood Street, Corydon, IN.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $123 (1506%)

Insurance Median: $43 (526%)

Cash: $123 (1506% of Medicare)

Ins. Median: $43 (526% 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 526% of the Medicare baseline (a markup of 426%). 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
UnitedHealthcare	$4 - $43	49%
Blue Cross Blue Shield	$6 - $43	73%
Aetna	$8 - $43	98%
Caresource Mcaid Hhw	$8	98%
Mdwise Mcaid Hhw/Hcc - All Other Plans	$8	98%
Mhs Mcaid Hhw/Hcc	$8	98%
Siho Ppo/Hmo - All Other Plans	$17	208%
Tricare	$40	490%
Caresource Mcaid Hip	$43	526%
Caresource Mcr Adv	$43	526%
Humana	$43 - $137	526%
Mdwise Mcaid Hip	$43	526%
Mhs Exchange-All Other Plans	$43	526%
Mhs Mcaid Hip	$43	526%
Mhs Mcr Adv	$43	526%
Passport Mcaid-All Other Plans	$43	526%
Passport Mcr Adv	$43	526%
Communicare Adv-All Plans	$44	539%
Siho Exchange	$44	539%
Passport Mcaid Beh Hlth	$51	624%
Caresource Exchange-All Other Plans	$56	685%
Buckeye Exchange-All Plans	$71	869%
Siho One Southern	$102	1248%
Encore Encircle	$164	2007%
Sagamore-All Plans	$164	2007%
Beech Street Comm-All Plans	$174	2130%
First Health-All Plans	$174	2130%
Cigna	$184	2252%
Encore Ppo - All Other Plans	$184	2252%
Multiplan-All Plans	$184	2252%

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 $123.
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 Harrison County 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.