CMS Price Transparency Data

Blood test, liver function panel

Facility: Albany Medical Center Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Albany Medical Center Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$9

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: $9 (110%)
Insurance Median: $9 (110%)
Cash: $9 (110% 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
Blue Cross Blue Shield $5 - $103 61%
Blue Shield Highmark $5 - $16 61%
Cdphp $6 - $103 73%
Fidelis $6 - $128 73%
Mvp $6 - $46 73%
Medicaid / KanCare $7 86%
Aetna $8 - $19 98%
Blue Shield $8 - $48 98%
Cigna $8 98%
Hamaspik $8 - $107 98%
Medicare (plans) $8 98%
UnitedHealthcare $8 - $171 98%
Emblem $9 - $15 110%
Emblem Health Ghi $9 - $16 110%
Mvp Commercial $9 110%
Nascentia $9 110%
Nascentia Health Options $9 110%
Tricare $9 110%
Empire Plan Nyship $14 - $171 171%
Magnacare $14 - $171 171%
Multiplan $14 - $182 171%
Emblem_Ghi $15 184%
Mvp Essential Plan $98 1200%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals