CMS Price Transparency Data
Blood test, liver function panel
Facility: St Joe Mercy Hospital System Livonia
Billing Code: 80076 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80076
- Insurance Median: $62
- Cash Discount Price: $64
- vs. Medicare Baseline: 7.59x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at St Joe Mercy Hospital System Livonia is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 7.59x the Medicare baseline. Located in 36475 Five Mile Road, Livonia, MI.
Cash / Self-Pay
$64
Average discount available for prompt cash payment at this facility.
Insurance Median
$62
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: $64 (783%)
Insurance Median: $62 (759%)
Cash: $64 (783% of Medicare)
Ins. Median: $62 (759% 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 759% of the Medicare baseline (a markup of 659%). 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.
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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 |
|---|---|---|
| Blue Cross Blue Shield | $4 - $9 | 49% |
| Medicaid / KanCare | $4 - $5 | 49% |
| Aetna | $8 - $43 | 98% |
| Align Senior Care | $8 | 98% |
| Angela Hospice | $8 | 98% |
| Blue Care Network Advantage | $8 | 98% |
| Hospice Of Michigan | $8 | 98% |
| Medicare (plans) | $8 - $9 | 98% |
| UnitedHealthcare | $8 - $63 | 98% |
| Bcn Domestic | $9 | 110% |
| Blue Benefit Administrators Of Massachusetts | $9 | 110% |
| Blue Care Network | $9 | 110% |
| Blue Distinction Transplant | $9 | 110% |
| Blue Shield - Ca | $9 | 110% |
| Blue Shield - Id (Regence) | $9 | 110% |
| Blue Shield - Ny Highmark Northeastern | $9 | 110% |
| Blue Shield - Ny Highmark Western | $9 | 110% |
| Blue Shield - Pa (Highmark) | $9 | 110% |
| Blue Shield - Wa (Regence) | $9 | 110% |
| Cca - Zing Health | $9 | 110% |
| Health Choices | $9 - $62 | 110% |
| Kaiser Domestic | $9 | 110% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $9 | 110% |
| Molina Marketplace | $11 | 135% |
| Priority Health | $11 - $12 | 135% |
| Geha | $12 - $63 | 147% |
| Luminare Health (Detroit) | $12 | 147% |
| Meritain | $12 | 147% |
| U Of M Health Plan | $12 | 147% |
| Health Cost Solutions | $13 | 159% |
| Vitalcore | $13 | 159% |
| Wellpath | $13 | 159% |
| Asr Health Benefits | $18 | 220% |
| Caresource | $18 | 220% |
| Employee Benefit Logistic | $18 | 220% |
| Hap | $18 - $60 | 220% |
| Varipro | $18 | 220% |
| Wc Accident Fund | $28 | 343% |
| Wc Advantage | $28 | 343% |
| Wc Aig | $28 | 343% |
| Wc Allied | $28 | 343% |
| Wc Amerisure | $28 | 343% |
| Wc Amtrust | $28 | 343% |
| Wc Asu Risk Mgt | $28 | 343% |
| Wc Berkley Admin | $28 | 343% |
| Wc Broadspire | $28 | 343% |
| Wc Bunch & Associates | $28 | 343% |
| Wc Ccmsi | $28 | 343% |
| Wc Emc Insurance Company | $28 | 343% |
| Wc Esis | $28 | 343% |
| Wc Fcci | $28 | 343% |
| Wc Federated | $28 | 343% |
| Wc Gallagher Bassett | $28 | 343% |
| Wc Genex Care For Ohio | $28 | 343% |
| Wc Guard Insurance Company | $28 | 343% |
| Wc Hartford | $28 | 343% |
| Wc Liberty Mutual | $28 | 343% |
| Wc Meijers | $28 | 343% |
| Wc Michigan | $28 | 343% |
| Wc Mitchell Frankenmuth | $28 | 343% |
| Wc Pma | $28 | 343% |
| Wc Sedgwick | $28 | 343% |
| Wc Sentry | $28 | 343% |
| Wc Travelers | $28 | 343% |
| Wc Tristar | $28 | 343% |
| Wc Walmart | $28 | 343% |
| Wc Zurich | $28 | 343% |
| Acs Benefit Services | $42 | 514% |
| Allied Benefit Systems | $42 | 514% |
| Claimchoice Adminstrators | $42 | 514% |
| Consociate | $42 | 514% |
| Cypress Benefit Administrators | $42 | 514% |
| Forest County Potawatomi | $42 | 514% |
| Health Smart | $42 | 514% |
| Healthgram | $42 | 514% |
| Healthscope | $42 | 514% |
| Secureone Preferred United Plans | $42 | 514% |
| Sisco Benefits | $42 | 514% |
| The Health Plan | $42 | 514% |
| Trustmark Small Business Benefits | $42 | 514% |
| Unified Group Services | $42 | 514% |
| Webtpa | $42 | 514% |
| Health Partners | $60 | 734% |
| Tufts Health Plan | $60 | 734% |
| Cigna | $61 - $78 | 747% |
| Access Health | $62 | 759% |
| Acclaim | $62 | 759% |
| Administrative Concepts | $62 | 759% |
| Allegeant | $62 | 759% |
| Ameriben | $62 | 759% |
| American Family | $62 | 759% |
| American Healthcare Alliance | $62 | 759% |
| American National | $62 | 759% |
| American Republic | $62 | 759% |
| Amerihealth | $62 | 759% |
| Aultcare | $62 | 759% |
| Automated Benefit Services | $62 | 759% |
| Auxiant | $62 | 759% |
| Benefit Administrative Systems,Llc | $62 | 759% |
| Boon Chapman | $62 | 759% |
| Cam Administrative Services | $62 | 759% |
| Christian Brother Services | $62 | 759% |
| Christian Brothers Holy Cross | $62 | 759% |
| Comprehensive Benefits | $62 | 759% |
| Continental Life Insurance | $62 | 759% |
| Custom Benefit Administrators | $62 | 759% |
| Employee Benefit Concepts | $62 | 759% |
| Employee Benefit Management | $62 | 759% |
| Enterprise Group Planning | $62 | 759% |
| Freedom Life Insurance Company | $62 | 759% |
| Group Administrators | $62 | 759% |
| Group Marketing Services | $62 | 759% |
| Guardian | $62 | 759% |
| Health America | $62 | 759% |
| Healthcare Management Admin | $62 | 759% |
| Healthez | $62 | 759% |
| Humana | $62 | 759% |
| Insight | $62 | 759% |
| Intercare | $62 | 759% |
| Jfp Benefit Management | $62 | 759% |
| Jp Farley Corporation | $62 | 759% |
| Key Benefit Administrator | $62 | 759% |
| Liberty Union Life Assurance Co | $62 | 759% |
| Lucent Health | $62 | 759% |
| Luminare Health | $62 | 759% |
| Magnacare | $62 | 759% |
| Medben | $62 | 759% |
| Medcost | $62 | 759% |
| Medical Mutual | $62 | 759% |
| Mutual Health Services | $62 | 759% |
| Mutual Of Omaha | $62 | 759% |
| Ncas | $62 | 759% |
| Nippon Life Ins | $62 | 759% |
| Nova | $62 | 759% |
| Painters Union Insurance Fund | $62 | 759% |
| Physicians Mutual | $62 | 759% |
| Plumbers Local 98 Insurance Fund | $62 | 759% |
| Prairie States | $62 | 759% |
| Preferred One | $62 | 759% |
| Primary Physician Care | $62 | 759% |
| Professional Benefit Administrators | $62 | 759% |
| Siho Insurance Services | $62 | 759% |
| The Loomis Company | $62 | 759% |
| Unicare | $62 | 759% |
| Us Health And Life | $62 | 759% |
| Valenz | $62 | 759% |
| Western & Southern Financial Group | $62 | 759% |
| Wps | $62 | 759% |
| 1199 National Benefit Fund | $63 | 771% |
| Allied National Global Care | $63 | 771% |
| Asrm - Reliance Standard Life Insurance | $63 | 771% |
| Christian Care Ministry | $63 | 771% |
| Dean Health | $63 | 771% |
| Fallon Health | $63 | 771% |
| Family Life Insurance Company | $63 | 771% |
| Ghc Scw | $63 | 771% |
| Group Pension Administrators | $63 | 771% |
| International Benefit Administrators | $63 | 771% |
| Lifetime Benefit Solutions | $63 | 771% |
| Manhattan Life | $63 | 771% |
| Medi Share | $63 | 771% |
| Multiplan | $63 | 771% |
| Mvp | $63 | 771% |
| Pai | $63 | 771% |
| Pan-American Life | $63 | 771% |
| Paramount Hmo | $63 | 771% |
| Phcs | $63 | 771% |
| Trinity Health Share | $63 | 771% |
| First Health | $64 | 783% |
| Coventry | $78 | 955% |
| Prime Health Services | $78 | 955% |
| Three Rivers Provider Network | $88 | 1077% |
| Carelon Behavioral Health | $98 | 1200% |
| Cmh Detroit Wayne Integrated Health Network | $98 | 1200% |
| Cmh Lenawee County | $98 | 1200% |
| Cmh Livingston County | $98 | 1200% |
| Cmh Misc | $98 | 1200% |
| Cmh Monroe County | $98 | 1200% |
| Cmh Washtenaw County | $98 | 1200% |
| Magellan Behavioral Health | $98 | 1200% |