CMS Price Transparency Data

Blood test, liver function panel

Facility: Fisher-Titus Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $91
  • Cash Discount Price: $117
  • vs. Medicare Baseline: 11.14x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Fisher-Titus Hospital is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 11.14x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.
Cash / Self-Pay
$117

Average discount available for prompt cash payment at this facility.

Insurance Median
$91

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: $117 (1432%)
Insurance Median: $91 (1114%)
Cash: $117 (1432% of Medicare)
Ins. Median: $91 (1114% 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 1114% of the Medicare baseline (a markup of 1014%). 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
Blue Cross Blue Shield $3 - $118 37%
Aetna $8 - $113 98%
Buckeye $8 - $12 98%
Caresource $8 - $12 98%
Medical Mutual Of Ohio $8 - $76 98%
Paramount $8 - $117 98%
Perennial Advantage $8 - $9 98%
Sidecar $8 - $90 98%
Summacare $8 - $114 98%
UnitedHealthcare $8 - $118 98%
Valor Health $8 98%
Wellcare $8 98%
Zing Health $8 98%
Amerihealth $12 147%
Molina $12 147%
Health Ohio Network $91 1114%
Tricare $98 - $104 1200%
Cigna $104 1273%
Claimsdoc $104 1273%
First Health $117 1432%
Multiplan $117 1432%
Ohio Health Choice $117 1432%
Healthscope $118 1444%
Emerald Health $126 1542%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 272 Benedict Avenue, Norwalk, OH 44857
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals