CMS Price Transparency Data

Blood test, liver function panel

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $13
  • Cash Discount Price: $105
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Munson Healthcare Cadillac Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.59x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$105

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $105 (1285%)
Insurance Median: $13 (159%)
Cash: $105 (1285% of Medicare)
Ins. Median: $13 (159% 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 Cross Blue Shield $4 - $12 49%
Mclaren Health Plan $4 - $77 49%
Meridian $4 49%
Molina $4 - $9 49%
Priority Health $4 - $11 49%
UnitedHealthcare $4 - $76 49%
Aetna $8 - $93 98%
American Health Associates $8 98%
Autumnwood Of Mcbain Skilled Nursing $8 98%
Blue Care Network $8 98%
Cigna $8 - $11 98%
Hap (Health Alliance Plan) $8 - $98 98%
Humana $8 98%
Medicare (plans) $8 98%
Michigan Amish Medical Board $8 98%
Promedica $8 98%
Samaritas Senior Living Skilled Nursing $8 98%
Wellcare (Meridian) $8 98%
Cofinity $9 - $96 110%
Employee Benefits Logistics $14 171%
Hospice Of Michigan $74 906%
Munson Hospice $86 - $852 1053%
Asr/Physicians Care $98 1200%
Enterprise Group Planning/Employee Benefit Plan $98 1200%
Medical Cost Savings Solution $98 1200%
Nomi Health $98 1200%
Robbing Group And Regency Employee Benefits $98 1200%
First Health/Coventry Network $105 1285%
Provider Network Of America Group Health $105 1285%
Three Rivers Provider Network $105 1285%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals