CMS Price Transparency Data

Blood test, liver function panel

Facility: Hospital Metropolitano Dr Susoni

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $14
  • Cash Discount Price: $267
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Hospital Metropolitano Dr Susoni is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $267. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.71x the Medicare baseline. Located in Calle Palma Num 55, Arecibo, PR.
Cash / Self-Pay
$267

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $267 (3268%)
Insurance Median: $14 (171%)
Cash: $267 (3268% of Medicare)
Ins. Median: $14 (171% 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
Ch $9 110%
Comerciales $9 110%
Humana $9 - $17 110%
Medicare (plans) $9 110%
Mso $9 110%
Va $9 110%
Mcs $10 - $14 122%
Aetna $11 135%
Tricare $11 135%
Triple S $11 - $14 135%
Aarp $12 147%
Bl $14 171%
Mc $14 171%
Prossam $15 184%
First Medical $16 196%
Hospicio $16 196%
Plan De Salud Menonita $16 196%
Cigna $28 343%
Acaa $30 367%
Mapfre $35 428%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Calle Palma Num 55, Arecibo, PR 00612
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals