CMS Price Transparency Data

Blood test, liver function panel

Facility: Munson Healthcare Manistee Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $62
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 7.59x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Munson Healthcare Manistee Hospital is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 7.59x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.
Cash / Self-Pay
$88

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: $88 (1077%)
Insurance Median: $62 (759%)
Cash: $88 (1077% 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.

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 - $52 49%
Mclaren Health Plan $4 - $77 49%
Meridian $4 49%
Molina $4 - $9 49%
Priority Health $4 - $11 49%
UnitedHealthcare $4 - $93 49%
Aetna $8 - $89 98%
Cigna $8 - $11 98%
Hap (Health Alliance Plan) $8 - $82 98%
Humana $8 98%
Medicare (plans) $8 98%
Michigan Amish Medical Board $8 98%
Northern Michigan Mennonite Group $8 98%
Prime Health Services $8 - $95 98%
Wellcare Meridian $8 98%
Cofinity $9 - $91 110%
Employee Benefits Logistics $14 171%
Hospice Of Michigan $62 759%
Munson Hospice $72 - $852 881%
Asr/Physicians Care $82 1004%
Enterprise Group Planning/Employee Benefits Plan $82 1004%
Medical Cost Savings Solution $82 1004%
Nomi Health $82 1004%
Provider Network Of America $88 1077%
Three Rivers Provider Network $88 1077%
Multiplan $91 1114%
Great West Healthcare $93 1138%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1465 E Parkdale Ave, Manistee, MI 49660
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals