CMS Price Transparency Data
Blood test, liver function panel
Facility: Mount Carmel Dublin
Billing Code: 80076 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80076
- Insurance Median: $24
- Cash Discount Price: $33
- vs. Medicare Baseline: 2.94x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Mount Carmel Dublin is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 2.94x the Medicare baseline. Located in 4105 Emerald Pkwy, Dublin, OH.
Cash / Self-Pay
$33
Average discount available for prompt cash payment at this facility.
Insurance Median
$24
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: $33 (404%)
Insurance Median: $24 (294%)
Cash: $33 (404% of Medicare)
Ins. Median: $24 (294% 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 294% of the Medicare baseline (a markup of 194%). 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.
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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 |
|---|---|---|
| Medicare (plans) | $7 - $9 | 86% |
| Aetna | $8 - $23 | 98% |
| Blue Cross Blue Shield | $8 - $51 | 98% |
| Oscar | $8 | 98% |
| Rural Carrier Health Benefit Plan | $8 | 98% |
| The Health Plan | $8 | 98% |
| UnitedHealthcare | $8 - $69 | 98% |
| Medical Mutual | $15 - $22 | 184% |
| Enterprise Group Planning | $16 | 196% |
| Custom Design Benefits | $17 | 208% |
| Quality Care Partners | $18 | 220% |
| Western & Southern Financial Group | $22 | 269% |
| Geha | $23 - $69 | 282% |
| Gravie Admin Services | $23 | 282% |
| Healthez | $23 | 282% |
| Meritain | $23 | 282% |
| Webtpa | $23 | 282% |
| Access Health | $24 | 294% |
| Acclaim | $24 | 294% |
| Administrative Concepts | $24 | 294% |
| Allegeant | $24 | 294% |
| Allied Benefit Systems | $24 | 294% |
| American Family | $24 | 294% |
| American Healthcare Alliance | $24 | 294% |
| American National | $24 | 294% |
| American Republic | $24 | 294% |
| Amerihealth | $24 | 294% |
| Aultcare | $24 | 294% |
| Automated Benefit Services | $24 | 294% |
| Auxiant | $24 | 294% |
| Benefit Administrative Systems,Llc | $24 | 294% |
| Boon Chapman | $24 | 294% |
| Cam Administrative Services | $24 | 294% |
| Christian Brother Services | $24 | 294% |
| Christian Brothers Holy Cross | $24 | 294% |
| Claimchoice Adminstrators | $24 | 294% |
| Comprehensive Benefits | $24 | 294% |
| Continental Life Insurance | $24 | 294% |
| Coventry | $24 | 294% |
| Custom Benefit Administrators | $24 | 294% |
| Cypress Benefit Administrators | $24 | 294% |
| Employee Benefit Concepts | $24 | 294% |
| Employee Benefit Management | $24 | 294% |
| Forest County Potawatomi | $24 | 294% |
| Freedom Life Insurance Company | $24 | 294% |
| Group Administrators | $24 | 294% |
| Group Marketing Services | $24 | 294% |
| Group Pension Administrators | $24 | 294% |
| Guardian | $24 | 294% |
| Health America | $24 | 294% |
| Health Choices | $24 | 294% |
| Healthcare Management Admin | $24 | 294% |
| Insight | $24 | 294% |
| Intercare | $24 | 294% |
| Jfp Benefit Management | $24 | 294% |
| Jp Farley Corporation | $24 | 294% |
| Key Benefit Administrator | $24 | 294% |
| Liberty Union Life Assurance Co | $24 | 294% |
| Lucent Health | $24 | 294% |
| Luminare Health | $24 | 294% |
| Magnacare | $24 | 294% |
| Medcost | $24 | 294% |
| Mutual Health Services | $24 | 294% |
| Mutual Of Omaha | $24 | 294% |
| Ncas | $24 | 294% |
| Nippon Life Ins | $24 | 294% |
| Nova | $24 | 294% |
| Painters Union Insurance Fund | $24 | 294% |
| Physicians Mutual | $24 | 294% |
| Plumbers Local 98 Insurance Fund | $24 | 294% |
| Prairie States | $24 | 294% |
| Preferred One | $24 | 294% |
| Primary Physician Care | $24 | 294% |
| Professional Benefit Administrators | $24 | 294% |
| Secureone Preferred United Plans | $24 | 294% |
| Siho Insurance Services | $24 | 294% |
| Sisco Benefits | $24 | 294% |
| The Loomis Company | $24 | 294% |
| Trustmark Small Business Benefits | $24 | 294% |
| U Of M Health Plan | $24 | 294% |
| Unicare | $24 | 294% |
| Unified Group Services | $24 | 294% |
| Us Health And Life | $24 | 294% |
| Valenz | $24 | 294% |
| Varipro | $24 | 294% |
| Wps | $24 | 294% |
| Humana | $26 - $51 | 318% |
| First Health | $27 | 330% |
| Paramount Hmo | $27 | 330% |
| Consociate | $31 | 379% |
| Health Ohio Network | $31 | 379% |
| Medben | $31 - $38 | 379% |
| American Postal Workers Secondary | $33 | 404% |
| Cigna | $33 | 404% |
| Health Partners | $33 | 404% |
| Healthgram | $33 | 404% |
| Mvp | $33 | 404% |
| Priority Health | $33 | 404% |
| Healthlink Inc | $38 | 465% |
| Medical Benefits Mutual | $38 | 465% |
| Ohio Health Choice | $38 | 465% |
| Ohio Ppo Connect | $38 | 465% |
| Ameriben | $41 | 502% |
| Luminare Health (Detroit) | $41 | 502% |
| Medi Share | $41 | 502% |
| Multiplan | $41 | 502% |
| Ohiohealthy | $41 | 502% |
| Osu Not Independent Choice | $41 | 502% |
| Phcs | $41 | 502% |
| Philadelphia American Life Insurance | $41 | 502% |
| Twin Valley Psychiatric | $41 | 502% |
| Health Smart | $43 | 526% |
| Medicaid / KanCare | $51 | 624% |