CMS Price Transparency Data

Blood test, liver function panel

Facility: Colleton Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $11
  • Cash Discount Price: $553
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Colleton Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $553. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.35x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
$553

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: $553 (6769%)
Insurance Median: $11 (135%)
Cash: $553 (6769% 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
Humana $7 - $518 86%
Absolute Total Care $8 - $104 98%
Aetna $8 - $333 98%
Arcadian $8 98%
Blue Cross Blue Shield $8 - $546 98%
Boldage Pace $8 98%
Devoted Health $8 98%
Molina $8 - $25 98%
Odyssey Hospice $8 98%
United $8 - $305 98%
United Behavioral Health $8 98%
Wellcare $8 98%
Align Networks $9 110%
Cigna $9 - $371 110%
Clover $9 110%
Eon Health $9 110%
Universal Healthcare Group $10 122%
Blue Choice $11 135%
Corvel Corporation $11 135%
Employer'S Health Network $11 135%
Prime Health $11 - $489 135%
Heritage Summit $12 147%
Seven Corners $14 171%
Select Health $16 196%
Medical Development $17 208%
Naphcare $17 208%
Sc State Employees $38 - $43 465%
Blue Choice Health Plan $82 - $86 1004%
Nhc Advantage $109 1334%
Pruitt Health $109 1334%
Employers Health Network $259 3170%
Value Option $288 3525%
Vocational Rehab $310 3794%
Medcost $324 - $420 3966%
Mhnet $431 5275%
Evernorth $460 5630%
Multiplan $489 5985%
North American Administrators $489 5985%
First Health $518 6340%
Novanet $518 6340%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals