CMS Price Transparency Data

Blood test, liver function panel

Facility: Merit Health Women's Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Merit Health Women's Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$42

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: $42 (514%)
Insurance Median: $8 (98%)
Cash: $42 (514% 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
Cigna $2 - $85 24%
Self Pay $2 - $86 24%
Trimed Billing Solutions $2 - $118 24%
UnitedHealthcare $2 - $112 24%
State Hospital $3 - $149 37%
Coventry First Health $4 - $204 49%
First Choice Mpcn $4 - $176 49%
First Choice Ppo Plus $4 - $216 49%
First Choice Standard $4 - $180 49%
Aetna $6 - $274 73%
Benefit Management Systems $6 - $333 73%
First Choice Stratose $7 - $314 86%
Health Choice Of Mississippi $7 - $314 86%
Magnolia Mcd Ms Chip $7 86%
Medicaid / KanCare $7 - $8 86%
Prime Health Services $7 - $314 86%
Tricare $7 86%
Advanced Health Systems $8 - $14 98%
Blue Cross Blue Shield $8 - $14 98%
Caresource Truecare $8 98%
Humana $8 98%
Medicare (plans) $8 98%
Mississippi Department Of Rehabilitation Services $8 - $392 98%
Molina Chip $8 98%
Molina Exchange $8 - $14 98%
Ms Work Comp $8 - $392 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 Seven Corners $8 - $14 98%
Node First Choice Wellcare Mcr Adv $8 98%
Node Molina Mcr Adv $8 98%
Node Shared Health Of Ms 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%
Occunet $12 147%
Magnolia Exchange $14 171%
First Choice Lgp $18 220%
Vantage Health $18 220%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals