CMS Price Transparency Data

Blood test, liver function panel

Facility: Carolinas Rehabilitation

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $188
Cash Discount Price: $199
vs. Medicare Baseline: 23.01x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Carolinas Rehabilitation is $188. 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 23.01x the Medicare baseline. Located in 1100 Blythe Blvd, Charlotte, NC.

Cash / Self-Pay

$199

Average discount available for prompt cash payment at this facility.

Insurance Median

$188

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: $188 (2301%)

Cash: $199 (2436% of Medicare)

Ins. Median: $188 (2301% 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 2301% of the Medicare baseline (a markup of 2201%). 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
Aetna	$8 - $337	98%
Humana	$8	98%
Cigna	$9 - $268	110%
UnitedHealthcare	$9 - $260	110%
Amerihealth Caritas	$10 - $154	122%
Blue Cross Blue Shield	$10 - $191	122%
Carolina Complete Health	$10 - $157	122%
Healthy Blue	$10 - $157	122%
Wellcare	$10 - $157	122%
Ambetter / Centene	$14 - $148	171%
Medcost	$18 - $266	220%
Employers Health Network	$175 - $210	2142%
Physician Reach Out	$198	2424%
Quik Trip	$258	3158%
Choicecare	$310	3794%
Healthgram	$318	3892%
Private Health Care Systems	$326	3990%
First Health	$337	4125%
Beechstreet	$365	4468%
Multiplan	$365	4468%

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 $199.
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 Carolinas Rehabilitation 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.