CMS Price Transparency Data
Blood test, liver function panel
Facility: Cannon Memorial Hospital
Billing Code: 80076 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80076
- Insurance Median: $11
- Cash Discount Price: $32
- vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Cannon Memorial Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.35x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$32
Average discount available for prompt cash payment at this facility.
Insurance Median
$11
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: $32 (392%)
Insurance Median: $11 (135%)
Cash: $32 (392% of Medicare)
Ins. Median: $11 (135% 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 |
|---|---|---|
| Cigna | $5 - $447 | 61% |
| Geha [302] | $5 - $238 | 61% |
| Golden Rule Ins Co [584] | $5 - $238 | 61% |
| Nalc Health Benefit Plan [291] | $5 - $266 | 61% |
| UnitedHealthcare | $5 - $447 | 61% |
| Aetna | $6 - $13 | 73% |
| Mail Handlers Benefit Plan [327] | $6 - $13 | 73% |
| Medicaid / KanCare | $6 - $447 | 73% |
| Rural Carrier Benefit Plan [406] | $6 - $13 | 73% |
| Bright Health Alt Payer [1001] | $7 | 86% |
| Bright Health [11] | $7 | 86% |
| Champva [604] | $7 | 86% |
| Humana | $7 - $322 | 86% |
| Medicare (plans) | $7 - $447 | 86% |
| Planned Administrators [886] | $7 - $138 | 86% |
| Select Health Of Sc [637] | $7 - $11 | 86% |
| Tricare | $7 | 86% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $8 | 98% |
| Absolute Total Care Mcr Plans [41] | $8 | 98% |
| Absolute Total Care [58] | $8 - $11 | 98% |
| Blue Choice Health Plan [922] | $8 - $149 | 98% |
| Blue Cross Blue Shield | $8 - $425 | 98% |
| Devoted Health Alt Payer [9401] | $8 | 98% |
| Devoted Health [94] | $8 | 98% |
| Molina Dual Options Alt Payer [1501] | $8 | 98% |
| Molina Dual Options [15] | $8 | 98% |
| Vaccn - Va Community Care Network [16] | $8 | 98% |
| Veterans Administration [633] | $8 | 98% |
| First Choice Vip Careplus Alt Payer [3301] | $9 | 110% |
| First Choice Vip [33] | $9 | 110% |
| Nhc Advantage Alt Payer [6101] | $9 | 110% |
| Nhc Advantage [61] | $9 | 110% |
| Other Hospital Payers [1991] | $10 - $447 | 122% |
| Ambetter / Centene | $12 | 147% |
| First Choice Next [96] | $12 | 147% |
| Molina Marketplace [97] | $12 | 147% |
| Workers Compensation [622] | $12 | 147% |
| Thomas Cooper & Company [315] | $13 - $138 | 159% |
| Edison Health Solutions [95] | $14 | 171% |
| Healthscope [98] | $14 | 171% |
| Medcost [206] | $14 - $402 | 171% |
| Employee Benefit Management Services [869] | $125 | 1530% |
| Phcs [940] | $241 - $295 | 2950% |
| Preferred Administrators [19] | $268 | 3280% |
| Coventry Health [245] | $279 - $322 | 3415% |
| American Continental Ins [778] | $447 | 5471% |
| American Republic Life Ins [722] | $447 | 5471% |
| Business Office [6000] | $447 | 5471% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $447 | 5471% |
| First Health [946] | $447 | 5471% |
| Guarantee Trust Life Insurance [236] | $447 | 5471% |
| Home Health Infusion Payer [6001] | $447 | 5471% |
| Manhattan Life Ins Co [932] | $447 | 5471% |
| Miscellaneous Commercial [1] | $447 | 5471% |
| New Era Life Ins Co [437] | $447 | 5471% |
| Non-Contracted [22] | $447 | 5471% |
| Physicians Mutual [773] | $447 | 5471% |
| Reference Based Pricing/Limited Plan [21] | $447 | 5471% |
| State Farm Ins Co [373] | $447 | 5471% |
| Sterling Investors Life [244] | $447 | 5471% |
| Supermed/Med Mutual Of Ohio [539] | $447 | 5471% |
| United American Ins Co [277] | $447 | 5471% |