CMS Price Transparency Data
Blood test, liver function panel
Facility: Mercy Hospital Springfield
Billing Code: 80076 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80076
- Insurance Median: $16
- Cash Discount Price: $222
- vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Mercy Hospital Springfield is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $222. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.96x the Medicare baseline. Located in 2115 S. Fremont Ave, Springfield, MO.
Cash / Self-Pay
$222
Average discount available for prompt cash payment at this facility.
Insurance Median
$16
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: $222 (2717%)
Insurance Median: $16 (196%)
Cash: $222 (2717% of Medicare)
Ins. Median: $16 (196% 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 |
|---|---|---|
| Blue Cross Blue Shield | $6 - $261 | 73% |
| Aetna | $7 - $10 | 86% |
| Humana | $7 - $233 | 86% |
| Medicaid / KanCare | $7 - $16 | 86% |
| Centurion Of Missouri [20459] | $8 | 98% |
| Champva [20065] | $8 | 98% |
| Cherokee Nation Health Serv Contracted [320066] | $8 | 98% |
| Cigna | $8 - $46 | 98% |
| Cross Timbers Hospice [20098] | $8 | 98% |
| Dept Of Veteran Affairs Contracted [320106] | $8 | 98% |
| Elara Caring Aspire Hospice [20433] | $8 | 98% |
| Globalhealth Contracted [320145] | $8 | 98% |
| Halo Hcr Inc Hospice Contracted [320432] | $8 | 98% |
| Halo Hcr Inc Hospice [20432] | $8 | 98% |
| Indian Health Service Contracted [320198] | $8 | 98% |
| Indian Health Service [20198] | $8 | 98% |
| Kindful Hospice Contracted [320434] | $8 | 98% |
| Kindful Hospice [20434] | $8 | 98% |
| Medica Contracted [320239] | $8 | 98% |
| Medica [20239] | $8 | 98% |
| Medicare (plans) | $8 | 98% |
| Mercy Hospice Okc [20252] | $8 | 98% |
| Mercy Mgd Behavioral Health Contracted [320259] | $8 | 98% |
| Mercy Rehab Hospital Contracted [320260] | $8 | 98% |
| Pace Of The Ozarks Contracted [320518] | $8 | 98% |
| Qual Choice Contracted [320325] | $8 | 98% |
| Tricare | $8 | 98% |
| United Medical Resources Contracted [320454] | $8 - $178 | 98% |
| UnitedHealthcare | $8 - $263 | 98% |
| Provider Partners Health Plans Contracted [320450] | $9 | 110% |
| Healthscope Contracted [320182] | $10 | 122% |
| Centivo Contracted [320505] | $13 | 159% |
| Aither Health Contracted [320449] | $16 - $195 | 196% |
| Ambetter / Centene | $16 | 196% |
| Auxiant Contracted [320462] | $16 - $222 | 196% |
| Ebms Contracted [320493] | $16 | 196% |
| Healthlink Contracted [320179] | $16 - $49 | 196% |
| Home State Health Plan Contracted [320187] | $16 | 196% |
| Imagine 360 Contracted [320494] | $16 | 196% |
| Mercy Benefit Admin Contracted [320251] | $16 - $195 | 196% |
| Novasys Contracted [320285] | $16 | 196% |
| Providrs Care Network Contracted [320484] | $16 | 196% |
| Reflect Health Contracted [320492] | $16 | 196% |
| Yuzu Health Contracted [320521] | $16 | 196% |
| 90 Degree Benefits Contracted [320436] | $48 | 588% |
| Show-Me Health Administrators Contracted [320483] | $48 - $50 | 588% |
| Benefit Management Contracted [320052] | $137 | 1677% |
| Health Systems Inc Contracted [320174] | $137 | 1677% |
| Insurance System Inc Contracted [320465] | $137 | 1677% |
| Administrative Payor Contracted [320005] | $154 - $171 | 1885% |
| Evolutions Health Care Contracted [320124] | $154 | 1885% |
| Point C Contracted [320238] | $154 - $256 | 1885% |
| Point C [20238] | $154 | 1885% |
| Medical Destinations Contracted [320242] | $171 | 2093% |
| Workers Comp [20426] | $171 - $291 | 2093% |
| First Health Contracted [320128] | $192 | 2350% |
| Edison Health Solutions Contracted [320502] | $195 | 2387% |
| Federal Medical Center Contracted [320127] | $205 | 2509% |
| Multiplan Contracted [320270] | $263 | 3219% |
| Private Health Care Systems Contracted [320320] | $263 | 3219% |
| Compcare Of The Ozarks Contracted [320437] | $270 | 3305% |
| American Healthcare Alliance Contracted [320020] | $274 | 3354% |
| Qual Choice Contracted [320324] | $274 | 3354% |
| Municipal Health Plan Contracted [320271] | $277 | 3390% |
| Usa Managed Care Org Contracted [320429] | $301 | 3684% |
| Ppo Plus Contracted [320310] | $308 | 3770% |