CMS Price Transparency Data

Blood test, liver function panel

Facility: Hackensack University Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $112
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 13.71x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Hackensack University Medical Center is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 13.71x the Medicare baseline. Located in 30 Prospect Ave, Hackensack, NJ.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$112

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: $8 (98%)
Insurance Median: $112 (1371%)
Cash: $8 (98% of Medicare)
Ins. Median: $112 (1371% 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 1371% of the Medicare baseline (a markup of 1271%). 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
UnitedHealthcare $7 - $94 86%
Aetna $8 - $112 98%
Amerigroup $8 98%
Blue Cross Blue Shield $8 98%
Clover $8 98%
Horizon $8 - $163 98%
Seoul Medical Group $8 98%
Vaccn $8 98%
Wellcare $8 98%
United Community/Americhoice $9 110%
Lhp Health $10 122%
Karna $11 135%
Cigna $37 - $134 453%
Oxford $84 1028%
Intergroup $117 1432%
Bergen Risk $125 1530%
Brighton Health Plan $132 1616%
Activecare First McO $142 1738%
Chn $142 1738%
Multiplan - PHCS $142 1738%
Qualcare $147 1799%
Amerihealth $167 2044%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 30 Prospect Ave, Hackensack, NJ 07601
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals