CMS Price Transparency Data

Blood test, liver function panel

Facility: Lancaster Rehabilitation Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $28
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 3.43x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Lancaster Rehabilitation Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 3.43x the Medicare baseline. Located in 675 Good Dr, Lancaster, PA.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $38 (465%)
Insurance Median: $28 (343%)
Cash: $38 (465% of Medicare)
Ins. Median: $28 (343% 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 343% of the Medicare baseline (a markup of 243%). 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
Multiplan $15 - $30 184%
Fed Med $17 - $32 208%
Aetna $26 - $49 318%
All Well - PA Health & Wellness $26 - $49 318%
Ambetter / Centene $26 - $49 318%
Amerihealth Caritas $26 - $49 318%
Blue Cross Blue Shield $26 - $49 318%
Cigna $26 - $49 318%
Freedom Blue Cpd (Highmark Freedcom Blue) $26 - $49 318%
Geha $26 - $49 318%
Geisinger $26 - $49 318%
Geisinger Gold $26 - $49 318%
Geisinger Health Cpd $26 - $49 318%
Highmark $26 - $49 318%
Highmark (Freedom Blue) $26 - $49 318%
Highmark Wholecare McD (Formerly Gateway) $26 - $49 318%
Highmark Wholecare Mgg (Formerly Gateway) $26 - $49 318%
Humana $26 - $49 318%
Medishare $26 - $49 318%
Optimum Healthcare $26 - $49 318%
Out of Area Blues $26 - $49 318%
PA Medical Assistance $26 - $49 318%
Preferred Health Care (Eliance) $26 - $49 318%
Tricare $26 - $49 318%
Triwest $26 - $49 318%
UPMC Health Plan $26 - $49 318%
UPMC for Life $26 - $49 318%
UPMC for You $26 - $49 318%
UnitedHealthcare $26 - $49 318%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 675 Good Dr, Lancaster, PA 17601
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL