CMS Price Transparency Data

Blood test, liver function panel

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $16
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Mary Hitchcock Memorial Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.96x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $26 (318%)
Insurance Median: $16 (196%)
Cash: $26 (318% of Medicare)
Ins. Median: $16 (196% 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.

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 - $65 37%
Blue Cross Blue Shield $5 - $261 61%
Amerihealth Caritas Nh $7 - $10 86%
Beacon Health Strategies/Carelon $7 - $10 86%
Granite State Health Plan $7 - $11 86%
Wellsense Health Plan $7 - $10 86%
Aetna $8 - $59 98%
Cigna $8 - $58 98%
Harvard Pilgrim Health Care Of Ne $8 - $54 98%
Martin'S Point Generations Advantage $8 98%
Martin'S Point Health Care $8 - $29 98%
Mvp $8 - $56 98%
Wellcare Health Plans $8 98%
Ambetter / Centene $9 - $27 110%
Mass General Brigham Health Plan $20 - $52 245%
Tufts Health Plan $24 - $49 294%
Maine Community Health Options $54 - $62 661%
Coventry $73 894%
First Health/Hcvm $73 894%
Phcs $76 930%
Corvel $77 942%
Ccmsi $80 979%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Medical Center Drive, Lebanon, NH 03756
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals