CMS Price Transparency Data

Blood test, liver function panel

Facility: Barnes Jewish Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $216
Cash Discount Price: $206
vs. Medicare Baseline: 26.44x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Barnes Jewish Hospital is $216. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $206. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 26.44x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.

Cash / Self-Pay

$206

Average discount available for prompt cash payment at this facility.

Insurance Median

$216

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: $206 (2521%)

Insurance Median: $216 (2644%)

Cash: $206 (2521% of Medicare)

Ins. Median: $216 (2644% 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 2644% of the Medicare baseline (a markup of 2544%). 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
UnitedHealthcare	$8 - $255	98%
Healthscope Benefits [258]	$10 - $223	122%
Cigna	$12 - $274	147%
Aetna	$16 - $257	196%
Allied Benefits [498]	$16 - $255	196%
Consociate [478]	$16	196%
Coresource [497]	$16	196%
Fmh Benefit Service Inc [222]	$16	196%
Mail Handlers [495]	$16	196%
Sarah Bush Lincoln [636]	$16	196%
Apwu Health Plan [216]	$19	233%
Nalc Health Benefit Plan [242]	$19	233%
Priority Health [648]	$19	233%
Blue Cross Blue Shield	$26 - $298	318%
Humana	$27	330%
Mercy Behavioral Health [573]	$86	1053%
Healthlink [225]	$166 - $259	2032%
Cox Health Systems Insurance Company [220]	$189 - $223	2313%
Health Alliance [224]	$189	2313%
Hope Trust [806]	$199	2436%
Med-Pay [480]	$223 - $257	2729%
Unicare [568]	$223 - $259	2729%
First Health Commercial [734]	$255	3121%
Beechstreet [551]	$257	3146%
Detego Health [868]	$257	3146%
Health Systems Inc [620]	$257	3146%
Healthcare Sol Mercy [609]	$257	3146%
Multiplan Commercial [737]	$257	3146%
Multiplan [240]	$257	3146%
Phcs [244]	$257 - $274	3146%
Preferred Health Professionals [561]	$259	3170%
Medica [661]	$274	3354%
Hfn [563]	$292	3574%

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 $206.
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 Barnes Jewish Hospital 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.