CMS Price Transparency Data

Blood test, liver function panel

Facility: Thomas Jefferson University Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $10
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Thomas Jefferson University Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.22x the Medicare baseline. Located in 111 South 11Th Street, Philadelphia, PA.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $9 (110%)
Insurance Median: $10 (122%)
Cash: $9 (110% of Medicare)
Ins. Median: $10 (122% 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.

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 $6 - $57 73%
Ibc $6 - $36 73%
Medicare (plans) $6 - $9 73%
Cigna $8 - $12 98%
Humana $8 98%
Innovage $8 98%
Inspira Life $8 98%
Jefferson Health Plan Aca Qhp Exchange $8 98%
Keystone First Vip Choice $8 98%
Point Of Comfort Refugee Resettlement $8 98%
St Agnes $8 98%
Tricare $8 98%
UnitedHealthcare $8 - $9 98%
Aetna $9 - $39 110%
Allwell Pa Health_Wellness Ma $9 110%
Devoted Health Participation $9 110%
Perennial $9 110%
Provider Partners Health Plan $9 110%
Highmark Wholecare Gateway $10 122%
Ibc Employee Benefit $10 122%
Ibc Main Line Health $10 122%
Ambetter / Centene $12 147%
Medicaid / KanCare $12 - $16 147%
Pa Health_Wellness Chc $12 147%
Upmc Commercial $12 147%
Naphcare $13 - $16 159%
Highmark $20 - $23 245%
Keystone First $25 306%
Geisinger Health Plan $33 404%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 111 South 11Th Street, Philadelphia, PA 19107
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals