CMS Price Transparency Data
Blood test, liver function panel
Facility: Claiborne Memorial Medical Center
Billing Code: 80076 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80076
- Insurance Median: $86
- Cash Discount Price: $132
- vs. Medicare Baseline: 10.53x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Claiborne Memorial Medical Center is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 10.53x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$132
Average discount available for prompt cash payment at this facility.
Insurance Median
$86
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: $132 (1616%)
Insurance Median: $86 (1053%)
Cash: $132 (1616% of Medicare)
Ins. Median: $86 (1053% 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 1053% of the Medicare baseline (a markup of 953%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Aetna | $8 - $86 | 98% |
| Amerihealth Caritas La | $8 - $57 | 98% |
| Arcadian Community Mcr Hm | $8 | 98% |
| Blue Cross Blue Shield | $8 - $44 | 98% |
| Champus | $8 | 98% |
| Champva | $8 | 98% |
| Cigna | $8 - $99 | 98% |
| Community Health Solution | $8 - $57 | 98% |
| Correctcare Intergrated | $8 - $57 | 98% |
| Healthy Blue | $8 - $57 | 98% |
| Healthy Blue Dual Adv | $8 | 98% |
| Humana | $8 - $132 | 98% |
| Kaiser Foundation Health | $8 | 98% |
| Louisiana Hc Connections | $8 - $57 | 98% |
| Magellan Services | $8 - $57 | 98% |
| Medicaid / KanCare | $8 - $57 | 98% |
| Medicare (plans) | $8 | 98% |
| Peoples Health Network | $8 | 98% |
| Pyramid Claims Mcr Hmo | $8 | 98% |
| Sterling Connect 2 | $8 | 98% |
| Sterling Premier Mc Hmo | $8 | 98% |
| Superior Health Mcr Hmo | $8 | 98% |
| Tenet Mcr Hmo | $8 | 98% |
| Tricare | $8 | 98% |
| United Hc Mcr Hmo | $8 | 98% |
| UnitedHealthcare | $8 - $57 | 98% |
| Universal Hc Mcr Hmo | $8 | 98% |
| Us Dept Of Labor | $8 | 98% |
| Vantage Health Mcr Hmo | $8 | 98% |
| Windsor Sterling Mcr Hmo | $8 | 98% |
| Wps Mvh Vapc3 | $8 | 98% |
| All Savers | $10 | 122% |
| Golden Rule Ins Co | $10 | 122% |
| United Behavioral Health | $10 | 122% |
| Vantage Health Plan Inc | $11 | 135% |
| Ambetter / Centene | $12 | 147% |
| Commercial Insurance | $53 - $132 | 649% |
| Meritain Health | $53 - $86 | 649% |
| Coventry Healthcare | $79 | 967% |
| Geha | $92 | 1126% |
| Health Plus Of La | $92 - $99 | 1126% |
| Apwu Healthplan | $99 | 1212% |
| Great West Healthcare | $99 | 1212% |
| Phcs | $105 | 1285% |
| Ppo Plus | $105 | 1285% |
| Sedgwick Claims Mgmt Serv | $119 | 1457% |
| Workman'S Comp | $119 | 1457% |
| Aarp | $132 | 1616% |
| Accordia National | $132 | 1616% |
| Aflac | $132 | 1616% |
| Alameda Alliance Forhealt | $132 | 1616% |
| American Pioneer | $132 | 1616% |
| Benefit Management | $132 | 1616% |
| Benesys Inc | $132 | 1616% |
| Business Guarantor | $132 | 1616% |
| Chubb | $132 | 1616% |
| Commercial Sr. Care | $132 | 1616% |
| Employee Benefit Services | $132 | 1616% |
| Family Life Insurance Co | $132 | 1616% |
| Farm Bureau Insurance | $132 | 1616% |
| Fiserv Health Benefit | $132 | 1616% |
| Gmp | $132 | 1616% |
| Group And Pension Admin | $132 | 1616% |
| Group Resources | $132 | 1616% |
| Haik Minvielle And Grubbs | $132 | 1616% |
| Harrington Benefit Svs | $132 | 1616% |
| Health Design Plus | $132 | 1616% |
| Health Plan | $132 | 1616% |
| Healthscope Benefits | $132 | 1616% |
| Insurance Management Admi | $132 | 1616% |
| Jefferson National | $132 | 1616% |
| John Alden Health Ins | $132 | 1616% |
| John Hancock | $132 | 1616% |
| Liberty Mutual | $132 | 1616% |
| Mailhandlers Benefit Plan | $132 | 1616% |
| Manhattan Life Ins Co | $132 | 1616% |
| Mega Life And Health | $132 | 1616% |
| Msa Careguard | $132 | 1616% |
| Mutual Of Omaha | $132 | 1616% |
| Nalc Health Benefit Plan | $132 | 1616% |
| Naphcare Inc. | $132 | 1616% |
| New Era Life Ins Co | $132 | 1616% |
| Physicians Mutual | $132 | 1616% |
| Principal Financial Group | $132 | 1616% |
| Prudential Healthcare | $132 | 1616% |
| Self Pay | $132 | 1616% |
| State Farm | $132 | 1616% |
| State Farm Insurance | $132 | 1616% |
| State Mutual Insurance Co | $132 | 1616% |
| Sterling Investors Life | $132 | 1616% |
| Tower Life | $132 | 1616% |
| Transamerica Premier Ins | $132 | 1616% |
| United American | $132 | 1616% |
| United Comm Travelers | $132 | 1616% |
| United Teachers | $132 | 1616% |
| Usable Administrator | $132 | 1616% |
| Visn 16 Cfu | $132 | 1616% |
| Wausau Benefits | $132 | 1616% |
| Webtpa | $132 | 1616% |
| Wells Fargo | $132 | 1616% |
| Woodmen Of The World | $132 | 1616% |