CMS Price Transparency Data
Blood test, liver function panel
Facility: Avoyelles Hospital
Billing Code: 80076 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80076
- Insurance Median: $228
- Cash Discount Price: $114
- vs. Medicare Baseline: 27.91x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Avoyelles Hospital is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 27.91x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$114
Average discount available for prompt cash payment at this facility.
Insurance Median
$228
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: $114 (1395%)
Insurance Median: $228 (2791%)
Cash: $114 (1395% of Medicare)
Ins. Median: $228 (2791% 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 2791% of the Medicare baseline (a markup of 2691%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $8 - $214 | 98% |
| Bankers Life | $8 | 98% |
| Champva | $8 | 98% |
| Cigna | $8 - $214 | 98% |
| Correct Cr Int Hlt | $8 - $79 | 98% |
| Humana | $8 - $215 | 98% |
| Mcd Amerihealth Caritas | $8 - $79 | 98% |
| Mcd Healthy Blue | $8 - $79 | 98% |
| Mcd La Hc Conn | $8 - $79 | 98% |
| Mcr Lagniappe | $8 | 98% |
| Medeico Ins Co | $8 | 98% |
| Medicaid / KanCare | $8 - $79 | 98% |
| Medicare (plans) | $8 | 98% |
| Mmc Allwell | $8 | 98% |
| Mmc Blue Advantage | $8 | 98% |
| Mmc Healthy Blue Dual Adv | $8 | 98% |
| Mmc Mcr Hmo Miscellaneous | $8 | 98% |
| Mmc Priority Hlth Pffs | $8 | 98% |
| Mmc Vantage Hlth | $8 | 98% |
| Mmc Wellcare | $8 | 98% |
| Mutual Of Omaha | $8 | 98% |
| Neba Inc | $8 | 98% |
| Philadelphia American Lif | $8 | 98% |
| Sentinel Security Life | $8 | 98% |
| Trustmark Health Benefits | $8 - $380 | 98% |
| Tunica Biloxi | $8 - $380 | 98% |
| United Amer Ins | $8 | 98% |
| UnitedHealthcare | $8 - $79 | 98% |
| Veterans Evaluation Serv | $8 | 98% |
| Wps Vacca | $8 | 98% |
| Mcd Ms | $9 - $87 | 110% |
| All Savers | $10 | 122% |
| Geha | $10 | 122% |
| United Hlth One | $10 | 122% |
| Gulf South Zelis | $11 | 135% |
| Amer Contl Ins | $13 - $214 | 159% |
| Blue Cross Blue Shield | $13 | 159% |
| Coventry | $13 - $214 | 159% |
| First Choice Health | $13 - $214 | 159% |
| Meritan Health | $13 - $380 | 159% |
| Ofc Of Grp Bene | $13 | 159% |
| Student Assurances | $114 - $380 | 1395% |
| Ppo Plus Llc | $228 | 2791% |
| Zelis Healthcare Bpa | $228 | 2791% |
| Gilsbar | $239 | 2925% |
| Amerind | $342 | 4186% |
| Applied Underwriters | $342 | 4186% |
| Sedgwick | $342 | 4186% |
| Us Dept Of Labor | $342 | 4186% |
| Wc Clms Admin Svcs | $342 | 4186% |
| Wc Clms Mgmnt Walmart | $342 | 4186% |
| Wc Esis | $342 | 4186% |
| Wc Fara | $342 | 4186% |
| Wc Gallagher Bassett | $342 | 4186% |
| Wc Guide One | $342 | 4186% |
| Wc Hartford Med | $342 | 4186% |
| Wc Luba | $342 | 4186% |
| Wc Lwcc | $342 | 4186% |
| Wc Paragon Casino Resort | $342 | 4186% |
| Wc Risk Mgmnt | $342 | 4186% |
| Wc Stone Trust | $342 | 4186% |
| Wc Summit Consulting Hold | $342 | 4186% |
| Wc Travelers Ins | $342 | 4186% |
| Wc Trs Workers Comp Claim | $342 | 4186% |
| Wc Us Dol | $342 | 4186% |
| Wc Zurich | $342 | 4186% |
| Aarp | $380 | 4651% |
| Admin Concepts | $380 | 4651% |
| All Saints Hospice | $380 | 4651% |
| All State | $380 | 4651% |
| Allegiance Health Hospice | $380 | 4651% |
| Allied Natl | $380 | 4651% |
| Amfirst | $380 | 4651% |
| Avoy Parish School Board | $380 | 4651% |
| Avoyelles Parish Sheriff | $380 | 4651% |
| Bollinger | $380 | 4651% |
| Ccmsi | $380 | 4651% |
| Central States | $380 | 4651% |
| Christus Health Plan | $380 | 4651% |
| Compassionate Care Hospic | $380 | 4651% |
| Core Source | $380 | 4651% |
| Coushatta Hlth Dept | $380 | 4651% |
| Ebms | $380 | 4651% |
| Federated Ins | $380 | 4651% |
| Feedom Life | $380 | 4651% |
| Fidelity Standard Life Co | $380 | 4651% |
| Fox Everette | $380 | 4651% |
| Guarantee Trust | $380 | 4651% |
| Heart Of Hospice | $380 | 4651% |
| Hos Christus Hospice | $380 | 4651% |
| Hos Guardian Hospice Care | $380 | 4651% |
| Hos Harbor Hospice Alex | $380 | 4651% |
| Hos La Hospice Palliative | $380 | 4651% |
| Hos Passages Hospice N. | $380 | 4651% |
| Hos St Joseph Hospice | $380 | 4651% |
| Hospice Miscellaneous | $380 | 4651% |
| Ins Mgmnt Admin | $380 | 4651% |
| Ins Tpa | $380 | 4651% |
| Liberty Health Share | $380 | 4651% |
| Lumico | $380 | 4651% |
| Manhattan Life Ins | $380 | 4651% |
| Medi Share | $380 | 4651% |
| Misc Comm | $380 | 4651% |
| Nalc | $380 | 4651% |
| New Era Life | $380 | 4651% |
| North American | $380 | 4651% |
| Phcs | $380 | 4651% |
| Physicians Mutual | $380 | 4651% |
| Pipeline Ind Bene | $380 | 4651% |
| Progressive Auto | $380 | 4651% |
| Reliance Standard Life | $380 | 4651% |
| Rural Carriers | $380 | 4651% |
| Shelter Ins Co | $380 | 4651% |
| Sierre Health And Life | $380 | 4651% |
| State Farm | $380 | 4651% |
| State Mutual | $380 | 4651% |
| Sterling Investors | $380 | 4651% |
| The Health Plan | $380 | 4651% |
| Tribal Hlth Partners | $380 | 4651% |
| Tricare | $380 | 4651% |
| Uct | $380 | 4651% |
| Unified Life | $380 | 4651% |
| Usaa Life Ins | $380 | 4651% |
| Web-Tpa | $380 | 4651% |
| Woodmen Of The World | $380 | 4651% |