CMS Price Transparency Data

Blood test, liver function panel

Facility: Novant Health Presbyterian Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $23
Cash Discount Price: $41
vs. Medicare Baseline: 2.82x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Novant Health Presbyterian Medical Center is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 2.82x the Medicare baseline. Located in 200 Hawthorne Lane Box 33549, Charlotte, NC.

Cash / Self-Pay

$41

Average discount available for prompt cash payment at this facility.

Insurance Median

$23

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: $41 (502%)

Insurance Median: $23 (282%)

Cash: $41 (502% of Medicare)

Ins. Median: $23 (282% 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 282% of the Medicare baseline (a markup of 182%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Carolina Complete	$5 - $23	61%
Nc Department Of Public Safety	$5 - $23	61%
Amerihealth	$6 - $23	73%
Blue Cross Blue Shield	$6 - $94	73%
UnitedHealthcare	$6 - $76	73%
Wellcare	$6 - $23	73%
Aetna	$8 - $105	98%
Cigna	$8 - $67	98%
Humana	$8 - $94	98%
Pace Of The Southern Piedmont	$8	98%
Liberty Health	$9	110%
Caresource North Carolina	$10 - $43	122%
Atlantic Corporation Dba Atlantic Packaging	$14 - $60	171%
Amps	$17 - $72	208%
Plotkin Health	$19 - $79	233%
Medcost	$22 - $98	269%
Multiplan	$23 - $98	282%
Phcs	$23 - $98	282%
Primary Physician Care	$23 - $97	282%
Employers Choice Network	$30 - $127	367%
Three Rivers Provider Network	$30 - $127	367%

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 $41.
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 Novant Health Presbyterian Medical Center 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.