CMS Price Transparency Data

Blood test, liver function panel

Facility: Crossgates River Oaks Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Crossgates River Oaks Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 350 Crossgates Blvd, Brandon, MS.
Cash / Self-Pay
$4

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: $4 (49%)
Insurance Median: $8 (98%)
Cash: $4 (49% 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
UnitedHealthcare $1 - $339 12%
Cigna $2 - $818 24%
Self Pay $2 - $327 24%
Trimed Billing Solutions $2 - $350 24%
Ms State Hospital Of Whitfield $3 - $444 37%
First Choice Coventry $4 - $607 49%
First Choice Mpcn Standard $4 - $642 49%
First Choice Ppo Plus $4 - $642 49%
First Choice Standard $4 - $537 49%
Phcs $5 - $701 61%
Aetna $6 - $500 73%
Benefit Management Systems $6 - $993 73%
American Health Group $7 - $993 86%
Beech Street $7 - $993 86%
First Choice Stratose $7 - $934 86%
Ibew $7 - $993 86%
Magnolia Mcd Chip $7 86%
Medicaid / KanCare $7 - $8 86%
One Health Plan $7 - $1,051 86%
Prime Health Services $7 - $934 86%
Tricare $7 86%
Advanced Health Systems $8 - $14 98%
Blue Cross Blue Shield $8 - $14 98%
Caresource Truecare $8 98%
First Choice Lgp $8 - $18 98%
Humana $8 98%
Medicare (plans) $8 98%
Molina $8 98%
Molina Chip $8 98%
Molina Exchange $8 - $14 98%
Ms Dept Of Rehabilitation Services $8 - $1,168 98%
Node Champva $8 98%
Node Devoted Health Mcr Adv $8 98%
Node First Choice American Health Of Ms Mcr Adv $8 98%
Node First Choice Shared 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 Va $8 98%
Node Vantage Health 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%
First Choice Preferred $12 147%
Node First Choice Occunet $12 147%
Node Magnolia Exchange $14 171%
Ms Work Comp $15 184%
Prime Health Wc $15 184%
Vantage Health Commercial $18 220%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Crossgates Blvd, Brandon, MS 39042
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals