CMS Price Transparency Data

Blood test, liver function panel

Facility: Merit Health River Oaks

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $5
  • Cash Discount Price: $2
  • vs. Medicare Baseline: 0.61x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Merit Health River Oaks is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.61x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$2

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $2 (24%)
Insurance Median: $5 (61%)
Cash: $2 (24% of Medicare)
Ins. Median: $5 (61% 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
First Choice Coventry $1 - $304 12%
First Choice Mpcn Standard $1 - $321 12%
First Choice Ppo Plus $1 - $321 12%
First Choice Standard $1 - $269 12%
Ms State Hospital Of Whitfield Ms $1 - $222 12%
Self Pay $1 - $128 12%
UnitedHealthcare $1 - $156 12%
Aetna $2 - $409 24%
American Health Group $2 - $496 24%
Beech Street $2 - $496 24%
Benefit Administration Services $2 - $496 24%
Benefit Management Systems $2 - $496 24%
Cigna $2 - $116 24%
Citizens State Bank Inc $2 - $496 24%
First Choice Stratose $2 - $467 24%
Formost $2 - $496 24%
One Health Plan $2 - $526 24%
Phcs $2 - $350 24%
Prime Health Services $2 - $467 24%
Tricare $2 - $7 24%
Trimed Billing Solutions $2 - $175 24%
Usa Mco $2 - $496 24%
Advanced Health Systems $3 - $14 37%
Blue Cross Blue Shield $3 - $14 37%
Humana $3 - $8 37%
Medicaid / KanCare $3 - $8 37%
Medicare (plans) $3 - $8 37%
Molina $3 - $8 37%
Molina Exchange $3 - $14 37%
Ms Dept Of Rehabilitation Services $3 - $584 37%
Node Champva $3 - $8 37%
Node Devoted Health Mcr Adv $3 - $8 37%
Node First Choice American Health Mcr Adv $3 - $8 37%
Node First Choice Seven Corners $3 - $14 37%
Node First Choice Shared Health Of Ms Mcr Adv $3 - $8 37%
Node First Choice Wellcare Mcr Adv $3 - $8 37%
Node Healthy Mississippi Mcr Adv $3 - $9 37%
Node Hospice Non Par Agree $3 - $8 37%
Node Us Dept Of Labor $3 - $10 37%
Node Va $3 - $8 37%
Node Vantage Health Mcr Adv $3 - $8 37%
Veterans Eval Services $3 - $8 37%
First Choice Preferred $4 - $12 49%
Node First Choice Occunet $4 - $12 49%
Magnolia Exchange $5 - $14 61%
First Choice Lgp $6 - $18 73%
Vantage Health Commercial $6 - $18 73%
Magnolia Mcd Chip $7 86%
Caresource Truecare $8 98%
Molina Chip $8 98%
Ms Work Comp $15 184%
Prime Health Wc $15 184%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals