CMS Price Transparency Data

Blood test, liver function panel

Facility: Bmh-Calhoun

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $79
  • Cash Discount Price: $53
  • vs. Medicare Baseline: 9.67x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Bmh-Calhoun is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 9.67x the Medicare baseline. Located in 140 Burke-Calhoun City Road, Calhoun City, MS.
Cash / Self-Pay
$53

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $53 (649%)
Insurance Median: $79 (967%)
Cash: $53 (649% of Medicare)
Ins. Median: $79 (967% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 967% of the Medicare baseline (a markup of 867%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Molina $8 - $81 98%
Veterans Evaluation Services $8 98%
Blue Cross Blue Shield $14 - $45 171%
Ppo Holdings $39 477%
Magnolia Regional Health Center $41 502%
Tricare $42 514%
Ms Breast And Cervical $44 539%
Triwest $44 539%
Vaccn $44 539%
Devoted Health $45 551%
Aetna $46 - $66 563%
American Health Plan $46 563%
Humana $46 - $82 563%
Primewell $46 563%
Shared Health $46 563%
Magnolia Ms $50 612%
Littler $51 624%
Cigna $56 685%
First Choice Health Plan Of Ms $66 808%
Burch Food Services $75 918%
First State Bank Trust $75 918%
Arlington Community Schools $79 967%
Armstrong Relocation $79 967%
Ashley Furniture Stores $79 967%
Bartlett City Schools $79 967%
Brimhall Foods $79 967%
Building Plastic $79 967%
Cannon Motor Company $79 967%
Carlisle $79 967%
City Of Bartlett $79 967%
City Of Lakeland $79 967%
Collierville Schools $79 967%
Crittenden County $79 967%
Davidson Hospitality $79 967%
Delta Industries $79 967%
Desoto Co Board Of Supervisors $79 967%
Dunn Investment Company $79 967%
Eas Mssc Schools $79 967%
First Community Bank $79 967%
French Camp Academy $79 967%
Gossett Motor Cars $79 967%
Hattiesburg Clinic $79 967%
Heartland Catfish Company $79 967%
Heavy Machines $79 967%
Hollowell Industries $79 967%
Hospitality Management Advisors $79 967%
Jas D Collier $79 967%
Lakeland School System $79 967%
Malco Theaters $79 967%
Mechanical Systems $79 967%
Mid-South Transport $79 967%
Minact $79 967%
Patterson Warehouses $79 967%
Radians $79 967%
Rei Nation $79 967%
Retzer Resources $79 967%
Ritchey Automotive $79 967%
Security One $79 967%
Silver Tree $79 967%
State Systems $79 967%
Town Of Collierville $79 967%
United Tn Holdings $79 967%
Vaughn Electric $79 967%
W G Yates $79 967%
W W Wood Products $79 967%
Watkins Uiberall $79 967%
Y K Auto Group $79 967%
Advanced Health Systems Inc. $82 1004%
Christian Health Aid $82 1004%
Ppo Plus $87 1065%
Employers Health Network $88 1077%
Harding Academy $88 1077%
Multiplan $92 1126%
Qca $92 1126%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 140 Burke-Calhoun City Road, Calhoun City, MS 38916
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals