CMS Price Transparency Data

Blood test, liver function panel

Facility: Beacon Plainwell

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $6
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Beacon Plainwell is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.73x the Medicare baseline. Located in 411 Naomi St, Plainwell, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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%)
Insurance Median: $6 (73%)
Ins. Median: $6 (73% 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
Aetna $3 - $9 37%
Blue Caid $3 37%
Medicaid / KanCare $3 37%
Mi Child $3 37%
UnitedHealthcare $3 - $8 37%
Cigna $6 73%
Priority Health Hmo/Ppo $6 73%
Smarthealth $8 98%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 411 Naomi St, Plainwell, MI 49080
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL