CMS Price Transparency Data

Blood test, liver function panel

Facility: Merit Health River Region

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $79
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Merit Health River Region is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 2100 Hwy 61 N, Vicksburg, MS.
Cash / Self-Pay
$79

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $79 (967%)
Insurance Median: $8 (98%)
Cash: $79 (967% of Medicare)
Ins. Median: $8 (98% 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
Magnolia $7 86%
Magnolia Mcd Chip $7 86%
Medicaid / KanCare $7 - $8 86%
Tricare $7 86%
UnitedHealthcare $7 - $45 86%
Aetna $8 - $20 98%
Caresource Truecare $8 98%
Department Of Veterans Affairs $8 98%
First Choice $8 - $247 98%
Humana $8 98%
Medicare (plans) $8 98%
Molina Chip $8 98%
Node Devoted Health Mcr Adv $8 98%
Node First Choice American Health Of Ms Mcr Adv $8 98%
Node First Choice Wellcare Mcr Adv $8 98%
Node Hospice Non Par Agree $8 98%
Node Magnolia Mcr Adv $8 98%
Node Molina Mcr Adv $8 98%
Node Peoples Health Mcr Adv $8 98%
Node Va $8 98%
Node Vantage Mcr Adv $8 98%
Node Windsor Mcr Adv $8 98%
Veterans Eval Services $8 98%
Node Healthy Mississippi Mcr Adv $9 110%
Node Us Dept Of Labor $10 122%
Advanced Health Systems $14 171%
Blue Cross Blue Shield $14 171%
Magnolia Exchange $14 171%
Molina Exchange $14 171%
Node Seven Corners $14 171%
Ms Work Comp $15 184%
Vantage Commercial $18 220%
Self Pay $59 - $99 722%
Medpartners $66 808%
Trimed Billing Solutions $99 1212%
Cigna $136 - $230 1665%
First Choice Mpcn Standard $181 2215%
Phcs $197 2411%
Ms Health Partners $247 3023%
Ms Dept Of Rehabilitation Services $329 4027%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2100 Hwy 61 N, Vicksburg, MS 39183
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals