CMS Price Transparency Data

Blood test, liver function panel

Facility: PAM Rehabilitation Hospital of Centennial Hills

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $281
  • Cash Discount Price: $375
  • vs. Medicare Baseline: 34.39x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at PAM Rehabilitation Hospital of Centennial Hills is $281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $375. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 34.39x the Medicare baseline. Located in 6166 N Durango Dr, Las Vegas, NV.
Cash / Self-Pay
$375

Average discount available for prompt cash payment at this facility.

Insurance Median
$281

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: $375 (4590%)
Insurance Median: $281 (3439%)
Cash: $375 (4590% of Medicare)
Ins. Median: $281 (3439% 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 3439% of the Medicare baseline (a markup of 3339%). 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
Molina $8 98%
Americas Choice Provider Network $263 3219%
Provider Network Of America $281 3439%
Quik Trip $281 3439%
Usa Managed Care Organization $281 3439%
Velocity Provider Ppo Network $281 3439%
Multiplan/Phcs $300 3672%
Prime Health Services $319 3905%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6166 N Durango Dr, Las Vegas, NV 89149
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL