CMS Price Transparency Data

Blood test, liver function panel

Facility: St Francis Regional Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $30
Cash Discount Price: $62
vs. Medicare Baseline: 3.67x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at St Francis Regional Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 3.67x the Medicare baseline. Located in 1455 St Francis Avenue, Shakopee, MN.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$30

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: $62 (759%)

Insurance Median: $30 (367%)

Cash: $62 (759% of Medicare)

Ins. Median: $30 (367% 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 367% of the Medicare baseline (a markup of 267%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Ucare Pmap (A B C D E G N O S U R H)	$6 - $38	73%
Aetna	$8 - $113	98%
Blue Cross Blue Shield	$8 - $62	98%
Medica	$8 - $146	98%
Medicaid / KanCare	$8	98%
Medicare (plans)	$8	98%
South Country Health Alliance	$8	98%
Scha Msho (S)	$9	110%
Health Partners	$10 - $29	122%
Medica Health System	$15 - $154	184%
UnitedHealthcare	$20 - $132	245%
Americas Ppo (Araz)(B D N O R S V)	$23 - $147	282%
Medica Mhps	$23 - $146	282%
Americas Ppo (Araz) (B D N H O R S)	$25 - $160	306%
First Health (A C E G H U B D N O R S)	$25 - $160	306%
All Other Contracted Care (A B C D E G H N O R S U)	$30 - $191	367%
Cigna	$33	404%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $62.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Francis Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.