CMS Price Transparency Data

Blood test, liver function panel

Facility: Tristar Skyline Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $2,146
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Tristar Skyline Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,146. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 3441 Dickerson Pike, Nashville, TN.
Cash / Self-Pay
$2,146

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $2,146 (26267%)
Insurance Median: $9 (110%)
Cash: $2,146 (26267% of Medicare)
Ins. Median: $9 (110% 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
Wellpoint $4 49%
Aetna $6 - $1,073 73%
Alive Hospice $8 98%
Ambetter / Centene $8 - $9 98%
Amerigroup $8 98%
Blue Cross Blue Shield $8 - $25 98%
Bright Health $8 - $9 98%
Devoted Health Plan $8 98%
Healthspring $8 98%
Humana $8 - $1,395 98%
Odyssey Healthcare $8 98%
Sarah Cannon Research $8 98%
United $8 - $966 98%
Wellcare $8 98%
Zing $8 98%
American Health Advantage $9 110%
Atrio Golden Times $9 110%
Evergreen Hmo $9 110%
Signature Advantage $9 110%
Corvel Corporation $12 147%
Novanet $12 147%
Prime Health $12 - $1,888 147%
Cigna $14 - $700 171%
Oscar $25 306%
Kentucky Labor Cabinet $395 4835%
Nhc Advantage, Inc. $408 4994%
Pruitt Health (Allyalign) $408 4994%
Centurion $884 10820%
Bgfh Singlesource $1,073 - $1,824 13133%
Employers Health Network $1,502 18384%
Mhnet $1,610 19706%
Odom'S Tn Pride Sausage $1,610 19706%
Multiplan $1,760 21542%
Beech Street $1,888 23109%
Triwest Healthcare $2,103 25741%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3441 Dickerson Pike, Nashville, TN 37207
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals