CMS Price Transparency Data

Blood test, liver function panel

Facility: Stanly Regional Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $172
  • Cash Discount Price: $199
  • vs. Medicare Baseline: 21.05x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Stanly Regional Medical Center is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $199. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 21.05x the Medicare baseline. Located in 301 Yadkin St, Albemarle, NC.
Cash / Self-Pay
$199

Average discount available for prompt cash payment at this facility.

Insurance Median
$172

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: $199 (2436%)
Insurance Median: $172 (2105%)
Cash: $199 (2436% of Medicare)
Ins. Median: $172 (2105% 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 2105% of the Medicare baseline (a markup of 2005%). 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
Aetna $8 - $357 98%
Humana $8 98%
Cigna $9 - $318 110%
UnitedHealthcare $9 - $269 110%
Alliance $10 - $49 122%
Amerihealth Caritas $10 - $49 122%
Blue Cross Blue Shield $10 - $205 122%
Carolina Complete Health $10 - $48 122%
Healthy Blue $10 - $48 122%
Partners $10 - $48 122%
Trillium $10 - $50 122%
Vaya $10 - $49 122%
Wellcare $10 - $48 122%
Ambetter / Centene $14 - $148 171%
Medcost $18 - $381 220%
Physician Reach Out $198 2424%
Employers Health Network $210 - $229 2570%
Magellan $238 2913%
Gmmi $258 3158%
Quik Trip $258 3158%
Carolina Behavioral Health $286 - $318 3501%
First Health $357 4370%
Healthgram $357 4370%
Choicecare $373 4565%
Lifesynch Community Choice Care $373 4565%
Multiplan $373 4565%
Private Health Care Systems $373 4565%
Beechstreet $381 4663%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Yadkin St, Albemarle, NC 28001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals