CMS Price Transparency Data

Blood test, liver function panel

Facility: Mercy Hospital - Cassville

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $198
Cash Discount Price: $161
vs. Medicare Baseline: 24.24x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Mercy Hospital - Cassville is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 24.24x the Medicare baseline. Located in 94 Main Street, Cassville, MO.

Cash / Self-Pay

$161

Average discount available for prompt cash payment at this facility.

Insurance Median

$198

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: $161 (1971%)

Insurance Median: $198 (2424%)

Cash: $161 (1971% of Medicare)

Ins. Median: $198 (2424% 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 2424% of the Medicare baseline (a markup of 2324%). 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
Aetna	$7 - $221	86%
Humana	$7 - $211	86%
Medicaid / KanCare	$7 - $129	86%
Blue Cross Blue Shield	$8 - $241	98%
Medicare (plans)	$8 - $106	98%
UnitedHealthcare	$11 - $236	135%
Dept Of Veteran Affairs Contracted [320106]	$85	1040%
Tricare	$100	1224%
Cherokee Nation Health Serv Contracted [320066]	$102	1248%
Cigna	$102 - $236	1248%
Cross Timbers Hospice [20098]	$102	1248%
Elara Caring Aspire Hospice [20433]	$102	1248%
Globalhealth Contracted [320145]	$102	1248%
Halo Hcr Inc Hospice Contracted [320432]	$102	1248%
Halo Hcr Inc Hospice [20432]	$102	1248%
Indian Health Service Contracted [320198]	$102	1248%
Kindful Hospice Contracted [320434]	$102	1248%
Kindful Hospice [20434]	$102	1248%
Medical Associates Health Contracted [320444]	$102	1248%
Mercy Hospice Okc [20252]	$102	1248%
Mercy Mgd Behavioral Health Contracted [320259]	$102	1248%
Pace Of The Ozarks Contracted [320518]	$102	1248%
Provider Partners Health Plans Contracted [320450]	$102	1248%
Qual Choice Contracted [320325]	$102	1248%
Healthscope Contracted [320182]	$104	1273%
Administrative Payor Contracted [320005]	$112	1371%
Centivo Contracted [320505]	$126	1542%
Ambetter / Centene	$129	1579%
Home State Health Plan Contracted [320187]	$129	1579%
Novasys Contracted [320285]	$129	1579%
Healthlink Contracted [320179]	$161 - $223	1971%
Preferred Health Plan Contracted [320522]	$161	1971%
Health Systems Inc Contracted [320174]	$198	2424%
Insurance System Inc Contracted [320465]	$198	2424%
Point C Contracted [320238]	$198 - $223	2424%
Point C [20238]	$198	2424%
United Medical Resources Contracted [320454]	$198 - $211	2424%
Workers Comp [20426]	$198 - $223	2424%
Municipal Health Plan Contracted [320271]	$201	2460%
Medica Contracted [320239]	$222	2717%
90 Degree Benefits Contracted [320436]	$223	2729%
Aither Health Contracted [320449]	$223	2729%
American Healthcare Alliance Contracted [320020]	$223	2729%
Auxiant Contracted [320462]	$223	2729%
Benefit Management Contracted [320052]	$223	2729%
Ebms Contracted [320493]	$223	2729%
Edison Health Solutions Contracted [320502]	$223	2729%
Evolutions Health Care Contracted [320124]	$223	2729%
Imagine 360 Contracted [320494]	$223	2729%
Mercy Benefit Admin Contracted [320251]	$223	2729%
Reflect Health Contracted [320492]	$223	2729%
Show-Me Health Administrators Contracted [320483]	$223	2729%
Usa Managed Care Org Contracted [320429]	$223	2729%
Yuzu Health Contracted [320521]	$223	2729%
First Health Contracted [320128]	$236	2889%
Multiplan Contracted [320270]	$236	2889%
Private Health Care Systems Contracted [320320]	$236	2889%

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 $161.
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 Mercy Hospital - Cassville 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.