CMS Price Transparency Data

Blood test, liver function panel

Facility: Wayne General Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $16
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Wayne General Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.96x the Medicare baseline. Located in 950 Matthew Dr, Waynesboro, MS.
Cash / Self-Pay
$40

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: $40 (490%)
Insurance Median: $16 (196%)
Cash: $40 (490% 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
Cigna $3 - $12 37%
Vantage Health-All Other Plans $3 37%
Al Healthcare Adv Mcaid-All Plans $7 86%
Alabama Community Mcaid-All Plans $7 86%
Humana $7 86%
Medicaid / KanCare $7 86%
Univita Healthcare Mcaid-All Plans $7 86%
Amerigroup Mcare Adv-All Plans $8 98%
Magnolia Mcare Adv $8 98%
Molina Chip-All Other Plans $8 98%
Molina Mcare Adv $8 98%
Vantage Health Mcare Adv $8 98%
Wellcare Mcare Adv-All Plans $8 98%
Ml Healthcare-All Plans $16 196%
Ahs-All Plans $28 343%
Phcs-All Plans $30 367%
Mhci/Healthlink Op Only-All Plans $34 416%
Ms Health Partners-All Plans $34 416%
Ppoplus-All Plans $34 416%
First Choice-All Other Plans $36 441%
First Health-All Plans $36 441%
Geha Ppo-All Plans $36 441%
Healthcare Advantage-All Plans $36 441%
United Providers-All Plans $36 441%
Three Rivers Provider Network-All Plans $38 465%
Aetna $40 490%
Magnolia Comm/Exchange-All Other Plans $40 490%
First Choice Hie $50 612%
Blue Cross Blue Shield $75 918%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 950 Matthew Dr, Waynesboro, MS 39367
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals