CMS Price Transparency Data

Blood test, liver function panel

Facility: University of Michigan Health - West

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $87
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 10.65x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at University of Michigan Health - West is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 10.65x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $48 (588%)
Insurance Median: $87 (1065%)
Cash: $48 (588% of Medicare)
Ins. Median: $87 (1065% 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 1065% of the Medicare baseline (a markup of 965%). 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
Priority Health $23 282%
Web Tpa $53 649%
Aetna $81 991%
Alliance Health & Life Ppo $81 991%
Asr Physicians $81 991%
Hap $81 991%
Golden Rule Ins $87 1065%
Medica $87 1065%
Student Ins/Mega Life $87 1065%
UnitedHealthcare $87 1065%
Humana $91 1114%
Asr Cofinity $101 1236%
Cofinity Commercial $101 1236%
Cofinity Weyco $101 1236%
Core Source $101 1236%
Epoch Group $101 1236%
Health Partners $101 1236%
Hlthcomp Admin $101 1236%
Mid America $101 1236%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 Byron Center Avenue, Sw, Wyoming, MI 49519
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals