CMS Price Transparency Data

Blood test, liver function panel

Facility: Ohio State University State Health System

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $47
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 5.75x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Ohio State University State Health System is $47. 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 5.75x the Medicare baseline. Located in 410 West 10Th Avenue, Columbus, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $47 (575%)
Ins. Median: $47 (575% 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 575% of the Medicare baseline (a markup of 475%). 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
Aetna $8 - $96 98%
Blue Cross Blue Shield $8 - $116 98%
Buckeye Community $8 - $13 98%
Humana $8 - $49 98%
Medicare (plans) $8 - $9 98%
Medigold $8 98%
Mmo $8 - $9 98%
Molina $8 - $14 98%
United $8 98%
Upper Ohio Valley $8 - $79 98%
Caresource $9 - $13 110%
Healthspan $9 - $57 110%
Osu Health Plan $37 - $60 453%
Ohio Ppo $44 - $53 539%
Cigna $48 588%
Odrc $48 588%
Ohiohealth $77 - $89 942%
Lifetrac $81 991%
Frontpath $95 1163%
Multiplan $95 1163%
Healthsmart $107 1310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 410 West 10Th Avenue, Columbus, OH 43210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals