CMS Price Transparency Data

Blood test, liver function panel

Facility: Boston Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $55
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Boston Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 1 Boston Medical Center Place, Boston, MA.
Cash / Self-Pay
$55

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $55 (673%)
Insurance Median: $9 (110%)
Cash: $55 (673% of Medicare)
Ins. Median: $9 (110% 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.

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
Fallon Healthcre Aco [1121] $7 86%
Hlth New England Aco [1123] $7 86%
Mass General Brigham Health Plan Aco [1120] $7 86%
Mass General Brigham Health Plan Mcd Mnged [1107] $7 86%
Medicaid / KanCare $7 86%
Oxford Health [1007] $7 86%
Oxford Health [2024] $7 86%
Tufts Together Aco [1122] $7 86%
Tufts Together Mco [1125] $7 86%
United [2025] $7 - $22 86%
UnitedHealthcare $7 - $8 86%
Wellsense Alli Aco [1118] $7 86%
Wellsense Essential Mco [1101] $7 86%
Zzzunited [1008] $7 - $22 86%
Aetna $8 - $60 98%
Blue Cross Blue Shield $8 - $16 98%
Corrections [9001] $8 - $10 98%
Humana $8 98%
Medicare (plans) $8 - $9 98%
Neighborhood Pace [1206] $8 98%
Tufts [8002] $8 - $22 98%
Ubh Hphc [8016] $8 98%
Veterans Admin [9003] $8 98%
Wellcare [1240] $8 98%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] $8 98%
Cca [1215] $9 110%
Cigna $9 - $22 110%
Eternalhealth [1227] $9 110%
Fallon Sco [1126] $9 110%
Wellsense [7001] $9 110%
Zzzcca Onecare [1216] $9 110%
Champva [9004] $10 122%
Senior Whole Health [1210] $10 122%
Tricare $10 122%
Tufts Conncare/Qhp [8020] $10 - $12 122%
Fallon [8008] $11 135%
Workers Comp [5002] $11 135%
Zzzbu Employee Work Comp [5004] $11 135%
Zzzcity Of Boston Work Comp [5003] $11 135%
Unicare [8004] $14 171%
Wellpoint [2034] $14 171%
Harvard Pilgrim Health Care [8001] $22 269%
Health Plans Inc [2027] $22 269%
Zzzhealth Plans Inc [1013] $22 269%
Uphams Corner Esp [1213] $49 600%
Meritain Health [1023] $54 661%
Mass General Brigham Health Plan Commercial [8009] $66 808%
Hsn Bad Debt [4003] $513 6279%
Hsn Confidential [4007] $513 6279%
Hsn Dental [4006] $513 6279%
Hsn Partial [4002] $513 6279%
Hsn [4001] $513 6279%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Boston Medical Center Place, Boston, MA 02118
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals