CMS Price Transparency Data

Blood test, liver function panel

Facility: Southern Hills Hospital and Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $561
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Southern Hills Hospital and Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $561. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.
Cash / Self-Pay
$561

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: $561 (6867%)
Insurance Median: $9 (110%)
Cash: $561 (6867% 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
Aetna $1 - $14 12%
Ambetter / Centene $6 - $9 73%
Caresource $6 73%
Community Care Health $6 73%
Molina Healthcare $6 73%
Sierra Hpn $6 73%
Alignment Health Plan $8 98%
Blue Cross Blue Shield $8 - $10 98%
Caremore $8 98%
Health Net $8 98%
Hometown Health Mcr $8 98%
Humana $8 98%
Select Health $8 - $129 98%
Sierra $8 98%
Triwest $8 98%
United $8 - $122 98%
Health Services Coalition $9 110%
Imperial Nv $9 110%
Universal Healthcare $10 122%
Cigna $21 257%
Corvel $30 367%
Olympus Medsave Usa $31 - $421 379%
Prominence Healthfirst $168 2056%
Cmn Global $236 2889%
Evernorth $280 3427%
Hometown Health Providers $280 3427%
Nv Health & Welfare Trust $337 4125%
Multiplan $353 - $410 4321%
First Health $370 - $449 4529%
Medcare International $421 5153%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 West Sunset Rd, Las Vegas, NV 89148
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals