CMS Price Transparency Data

Blood test, liver function panel

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $14
Cash Discount Price: $20
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Ochsner Stennis Memorial Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.71x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$20

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $20 (245%)

Insurance Median: $14 (171%)

Cash: $20 (245% of Medicare)

Ins. Median: $14 (171% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$3 - $15	37%
Humana	$6 - $17	73%
Medicaid / KanCare	$7 - $8	86%
Cigna	$8 - $17	98%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$8 - $18	98%
Medicare (plans)	$8 - $20	98%
Primewell Health Services Commercial Exchange Plan	$8 - $19	98%
Primewell Health Services – Commercial	$8 - $19	98%
Prime Health Services Ppo	$9 - $23	110%
Shared Health Mississippi	$9 - $18	110%
Ambetter / Centene	$11 - $18	135%
Blue Cross Blue Shield	$14	171%
Cor Vel	$14 - $15	171%
Prime Health Services Ppo -Workers Comp	$14	171%
Aetna	$15 - $19	184%
Zelis	$19 - $22	233%
Select Administrative Services Network	$20 - $31	245%
Claritev D/B/A Multiplan/Phcs/American Life Care	$22 - $45	269%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $20.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Stennis Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.