CMS Price Transparency Data

Blood test, liver function panel

Facility: Saratoga Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Saratoga Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.
Cash / Self-Pay
$84

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: $84 (1028%)
Insurance Median: $8 (98%)
Cash: $84 (1028% 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
UnitedHealthcare $4 - $356 49%
Blue Shield Highmark $5 - $6 61%
Cdphp $6 - $108 73%
Fidelis $6 - $108 73%
Mvp $6 - $8 73%
Medicaid / KanCare $7 86%
Aetna $8 - $31 98%
Blue Cross Blue Shield $8 - $182 98%
Cigna $8 98%
Emblem $8 - $9 98%
Emblem Health Ghi $8 - $9 98%
Hamaspik $8 - $113 98%
Medicare (plans) $8 98%
Nascentia Health Options $9 110%
Tricare $9 110%
Blue Shield $12 - $22 147%
Mvp Commercial $16 - $297 196%
Empire Plan Nyship $17 - $297 208%
Multiplan $17 - $337 208%
Magnacare $21 - $376 257%
Mvp Essential Plan $48 - $96 588%
Mvp Govt Programs $48 588%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 Church Street, Saratoga Springs, NY 12866
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals