CMS Price Transparency Data

Blood test, liver function panel

Facility: University Hospitals - Elyria Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $87
  • Cash Discount Price: $137
  • vs. Medicare Baseline: 10.65x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at University Hospitals - Elyria Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 10.65x the Medicare baseline. Located in 630 East River Street, Elyria, OH.
Cash / Self-Pay
$137

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $137 (1677%)
Insurance Median: $87 (1065%)
Cash: $137 (1677% of Medicare)
Ins. Median: $87 (1065% 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 1065% of the Medicare baseline (a markup of 965%). 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 - $20 98%
Blue Cross Blue Shield $8 - $84 98%
Cigna $8 - $102 98%
Devoted Health $8 98%
Humana $8 98%
Medical Mutual Of Ohio $8 - $89 98%
Molina $8 98%
Paramount $8 98%
Primetime Health Plan $8 98%
Summacare $8 - $93 98%
The Health Plan $8 - $120 98%
UnitedHealthcare $8 - $25 98%
Wellcare By Allwell $8 98%
Perennial Advantage Of Ohio $9 110%
Valor Health Plans $9 110%
University Health Employee Plan (Contigo) $11 135%
Ambetter / Centene $15 184%
Caresource $15 184%
Amish Aid Community Plan $84 1028%
Amish Church Fund And Workers Aid Plan $84 1028%
Buckeye Plain Ministries $84 1028%
Jp Farley $86 1053%
Clarity $87 1065%
Christian Healthcare Ministries $91 1114%
Immergrun $91 1114%
Sunrise Plan Communities $91 1114%
Aultcare $100 1224%
Healthsmart $118 1444%
Ohio Health Choice $118 - $164 1444%
Medical Mutual Traditional/Health Ohio $127 1554%
Beech Street $146 - $164 1787%
Ohio Preferred Network $146 - $164 1787%
First Health $151 1848%
Century Health Network $155 1897%
Private Healthcare System $157 1922%
Configurenet $164 2007%
Fortified Provider Network $164 2007%
Multiplan $164 2007%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 630 East River Street, Elyria, OH 44035
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals