CMS Price Transparency Data

Blood test, liver function panel

Facility: Saint Mary's Regional Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Saint Mary's Regional Medical Center is $9. 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 1.10x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $9 (110%)
Cash: $8 (98% of Medicare)
Ins. Median: $9 (110% 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
Access To Healthcare Network $2 24%
Blue Cross Blue Shield $6 - $8 73%
Health Plan Of Nevada $6 - $8 73%
Medicaid / KanCare $6 73%
Molina Healthcare Of Nv $6 - $8 73%
Silver Summit $6 - $14 73%
Aetna $8 - $20 98%
Alignment $8 98%
Medicare (plans) $8 98%
Saint Mary Health Plan $8 - $9 98%
Sierra $8 98%
Tricare $8 98%
Triwest $8 98%
UnitedHealthcare $8 - $11 98%
Occunet $9 - $87 110%
Pam $9 110%
Veterans Evaluation Service Ves $10 122%
Employer Direct $11 135%
Home Town Test $11 135%
Naphcare $11 135%
Asserta Health $12 147%
Imperial Insurance Company $12 - $15 147%
Nevada Health Partners $15 184%
6 Degrees $16 196%
Nv Preferred $17 - $19 208%
Custom Ink $18 220%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 235 W 6Th St, Reno, NV 89503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals