CMS Price Transparency Data

Blood test, liver function panel

Facility: Oklahoma Heart Hospital, LLC

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $48
  • Cash Discount Price: $55
  • vs. Medicare Baseline: 5.88x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Oklahoma Heart Hospital, LLC is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 5.88x the Medicare baseline. Located in 4050 West Memorial Road, Oklahoma City, OK.
Cash / Self-Pay
$55

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $55 (673%)
Insurance Median: $48 (588%)
Cash: $55 (673% of Medicare)
Ins. Median: $48 (588% 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 588% of the Medicare baseline (a markup of 488%). 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 $7 - $108 86%
Humana $7 - $108 86%
Blue Cross Blue Shield $8 - $48 98%
Cigna $8 - $109 98%
Geha $8 98%
Medicare (plans) $8 98%
UnitedHealthcare $8 98%
Va Ccn $8 98%
Veterans Eval Services $8 98%
Ambetter / Centene $11 135%
Community Care $16 - $109 196%
The Kempton Group $20 245%
Healthcare Highways $39 - $94 477%
Healthscope $72 881%
Oscar Insurance Company $72 881%
Webtpa Chickasaw Nation Hch $73 894%
Webtpa Hobby Lobby Hch $83 1016%
Coventry $92 1126%
Global Health $98 1200%
Sana Benefits $101 1236%
Ufcw $101 1236%
First Health Network $108 1322%
Manhattan Life $108 1322%
Phcs $109 1334%
Preferred Community Choice $119 1457%
Multiplan $140 1714%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4050 West Memorial Road, Oklahoma City, OK 73120
  • CMS Rating: ★★★★☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals