CMS Price Transparency Data
Blood test, liver function panel
Facility: St Charles Hospital
Billing Code: 80076 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80076
- Insurance Median: $8
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at St Charles Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 200 Belle Terre Road, Port Jefferson, NY.
Cash / Self-Pay
Unavailable
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%)
Insurance Median: $8 (98%)
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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Affinity Health Plan | $7 - $16 | 86% |
| Beacon Health Options | $7 - $11 | 86% |
| Beacon Health Strategies | $7 - $11 | 86% |
| Centerlight Healthcare | $7 - $8 | 86% |
| Elderplan Inc. | $7 - $8 | 86% |
| Emblem Health | $7 - $18 | 86% |
| Fidelis Care New York | $7 - $16 | 86% |
| Health First | $7 - $18 | 86% |
| Health Plus | $7 - $16 | 86% |
| Independent Health | $7 - $8 | 86% |
| Medicaid / KanCare | $7 | 86% |
| Mvp Health Plans | $7 - $20 | 86% |
| Senior Whole Health | $7 - $8 | 86% |
| UnitedHealthcare | $7 - $30 | 86% |
| Aetna | $8 - $9 | 98% |
| Agewell New York | $8 | 98% |
| Blue Cross Blue Shield | $8 - $30 | 98% |
| Centers Plan For Healthy Living | $8 | 98% |
| Healthspring | $8 | 98% |
| Humana | $8 | 98% |
| Liberty Health | $8 | 98% |
| Longevity Health Plan | $8 | 98% |
| Medicare (plans) | $8 - $9 | 98% |
| Orthonet - Uniformed Services Family Health Plan | $8 | 98% |
| Pmc | $8 | 98% |
| Surest | $8 | 98% |
| Tricare | $8 | 98% |
| Universal Healthcare | $8 | 98% |
| Us Family Health Plan | $8 | 98% |
| Veterans Affairs | $8 | 98% |
| Mail Handlers Benefit Plan | $9 | 110% |
| Meritain Health | $9 | 110% |
| Nippon Life Insurance Company Of America | $9 | 110% |
| Partners Health Plan | $9 | 110% |
| Salvation Army | $9 | 110% |
| Wellcare Health Plan Inc | $9 | 110% |
| Zadroga | $11 | 135% |
| Centivo | $12 - $20 | 147% |
| American Plan Administrators | $18 | 220% |
| Amerihealth Administrators | $18 | 220% |
| Benefit Services | $18 | 220% |
| Ghi Cbp Ny City Employee Alternate | $18 | 220% |
| International Benefit Administrator | $18 | 220% |
| Ultra Benefits Inc. | $18 | 220% |
| Apwu | $20 | 245% |
| Cigna | $20 - $146 | 245% |
| Daniel H Cook | $20 | 245% |
| Nalc | $20 | 245% |
| Samba | $20 | 245% |
| Brighton | $21 - $157 | 257% |
| Self Pay | $30 | 367% |
| Local 1199 | $44 | 539% |
| Oscar Health | $92 | 1126% |
| Allied Wellfare Fund | $146 | 1787% |
| American Group Administrators | $146 | 1787% |
| Bakery & Confectionery Union | $146 | 1787% |
| Comprehensive Benefits Consultant | $146 | 1787% |
| Guardian Life Insurance Company Of America | $146 | 1787% |
| Maloney And Assoc | $146 | 1787% |
| Multiplan | $146 | 1787% |
| Performax | $146 | 1787% |
| Phcs | $146 | 1787% |
| Pomco | $146 | 1787% |
| Tpa Inc | $146 | 1787% |
| Unicare | $146 | 1787% |
| United Employees Health Plan | $146 | 1787% |
| Coventry | $166 - $190 | 2032% |
| Magellan | $179 | 2191% |
| Galaxy | $202 | 2472% |
| Three Rivers Provider Network | $202 | 2472% |
| Aither Health | $224 | 2742% |
| Alpha Care | $224 | 2742% |
| Dentaquest | $224 | 2742% |