CMS Price Transparency Data

Blood test, liver function panel

Facility: Ascension Providence Hospital, Southfield and Novi

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Ascension Providence Hospital, Southfield and Novi is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 16001 W Nine Mile Rd, Southfield, MI.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $26 (318%)
Insurance Median: $8 (98%)
Cash: $26 (318% of Medicare)
Ins. Median: $8 (98% 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
Blue Caid Michigan $5 61%
Harbor Health Mcd $5 61%
Medicaid / KanCare $5 - $8 61%
Molina Health $5 61%
Total Health Care $5 61%
UnitedHealthcare $5 61%
Priority Ppo $6 73%
Amerihealth Vip Care Mcr $7 - $8 86%
Hap Alliance Health $7 86%
Hap Hmo Pos $7 86%
Priority Health Hmo $7 86%
Smarthealth Non Assigned $7 86%
Aetna $8 - $10 98%
Auto Insurance $8 98%
Hap Preferred $8 98%
Humana $8 98%
Jvhl - Mcr Replacement $8 98%
Mcr Replacement $8 98%
Veterans Choice $8 98%
Meridian Wellcare $9 110%
Molina Advantage $9 110%
Ambetter / Centene $10 122%
Bc Metro Detroit Epo $10 122%
Bc Metro Detroit Hmo $10 122%
Bcn Local Network Southeast $10 122%
Blue Care Network $10 122%
Blue Cross Blue Shield $10 122%
Molina Marketplace $10 122%
Smart Health $11 135%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16001 W Nine Mile Rd, Southfield, MI 48075
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals