CMS Price Transparency Data

Blood test, liver function panel

Facility: Stillwater Billings Clinic

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $129
  • Cash Discount Price: $136
  • vs. Medicare Baseline: 15.79x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Stillwater Billings Clinic is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 15.79x the Medicare baseline. Located in 710 N 11Th St, Columbus, MT.
Cash / Self-Pay
$136

Average discount available for prompt cash payment at this facility.

Insurance Median
$129

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: $136 (1665%)
Insurance Median: $129 (1579%)
Cash: $136 (1665% of Medicare)
Ins. Median: $129 (1579% 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 1579% of the Medicare baseline (a markup of 1479%). 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
Blue Cross Blue Shield $17 - $129 208%
Pacific Source Mcr Advantage $92 1126%
Tricare $92 1126%
Humana $93 1138%
Pacific Steel Direct - All Plans $95 1163%
Pacific Source Billings Clinic $102 1248%
Allied Core Value $118 1444%
Rci Wyoben $122 1493%
Wyo-Ben Inc- All Plans $122 1493%
Mountain Health Coop - All Plans $125 1530%
All Savers-All Plans $129 1579%
Allegiance Direct Ppo - All Other Plans $129 1579%
Blackhawk - All Plans $129 1579%
Cigna $129 1579%
Ebms Interwest $129 1579%
Ebms Town Pump $129 1579%
Gpa Interwest- All Plans $129 1579%
Interwest Health-All Plans $129 1579%
Mtada- All Plans $129 1579%
Pacific Source Voyager - All Other Plans $129 1579%
Pacificsource Nav $129 1579%
Prodegi (Y-Tex Corp)- All Plans $129 1579%
Rci Interwest $129 1579%
Town Pump Inc- All Plans $129 1579%
UnitedHealthcare $129 1579%
Aetna $132 1616%
Boon Chapman First Choice Health $132 1616%
Ebms First Choice Health $132 1616%
First Choice- All Plans $132 1616%
Murdoch Oil - All Plans $132 1616%
Rci First Choice Health - All Other Plans $132 1616%
Ryegate Public Schools - All Plans $132 1616%
Savatree - All Plans $132 1616%
Tabs - All Plans $132 1616%
Trustmark First Choice Health $132 1616%
Zenith First Choice Health- All Plans $132 1616%
Allegiance State Of Mt $190 2326%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N 11Th St, Columbus, MT 59019
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals