CMS Price Transparency Data

Blood test, liver function panel

Facility: Bertrand Chaffee Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Bertrand Chaffee Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
$12

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $12 (147%)
Insurance Median: $8 (98%)
Cash: $12 (147% of Medicare)
Ins. Median: $8 (98% 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 61%
Senior Blue - Bc $5 61%
Comm Blue Essential $7 86%
Community Blue $7 86%
Community Care - Bc $7 86%
Fidelis Care Of New York $7 86%
Fidelis Essential Plans $7 86%
Ghi Medical $7 86%
Gowanda Correctional Fac $7 86%
Iha Essential Plans $7 86%
Iha Medisource $7 86%
Medicaid / KanCare $7 86%
Molina Essential Plan $7 86%
Molina Heathcare Of Wny $7 86%
Seneca Nation Health Dept $7 86%
United Hc - Community Pln $7 86%
United Hc Essential Plan $7 86%
Univera Essential Plans $7 86%
Univera Hc Child Health+ $7 86%
Univera Hc Myhealth $7 86%
Univera Hc Myhealth+ $7 86%
Univera Plus Med $7 86%
Yourcare $7 86%
Advantra-Mcr Advantage $8 98%
Aetna $8 - $15 98%
Centers Plan Hlty Living $8 98%
Champva $8 98%
Cigna $8 - $15 98%
Ctrs Plan For Hlthy Livng $8 98%
Geisinger Health Plan $8 98%
Humana $8 98%
Iha $8 98%
Iha Custom Coverage $8 98%
Iha Encompass 65 $8 98%
Lifetime Benefits $8 98%
Medicare (plans) $8 98%
Mutual Of Omaha $8 98%
Nova Healthcare $8 98%
Optimum Healthcare - Mcr $8 98%
Todays Option - Amer Prog $8 98%
Tricare $8 98%
United Hc Mcr Solutions $8 98%
UnitedHealthcare $8 98%
Univera Senior Choice $8 98%
Wellcare $8 98%
Univera Healthcare $9 110%
Private Pay $12 147%
American Progressive Ins. $15 184%
Commercial / Misc $15 184%
Global Excel Mgt $15 184%
Guardian Life Ins. Co. $15 184%
Mvp Commercial $15 184%
No Amer Meritian Health $15 184%
No-Fault $15 184%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 224 East Main Street, Springville, NY 14141
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals