CMS Price Transparency Data

Blood test, liver function panel

Facility: Blount Memorial Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $12
Cash Discount Price: $71
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Blount Memorial Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.47x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$12

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: $71 (869%)

Insurance Median: $12 (147%)

Cash: $71 (869% of Medicare)

Ins. Median: $12 (147% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$3 - $12	37%
Blue Cross Blue Shield	$5 - $8	61%
Golden Rule Insurance Company [2991]	$5	61%
Oxford Health Plans [2992]	$5	61%
UnitedHealthcare	$5 - $10	61%
Cigna	$7 - $11	86%
Mvp Health Care [3037]	$7	86%
Tricare	$7	86%
Humana	$8	98%
Medicare (plans)	$8	98%
Ambetter / Centene	$13	159%
Consociate Health Contracted [4835]	$18	220%
Fairos/Occunet Contracted [4837]	$19	233%
Prisma Health Seniorcare Pace - Midlands [5400]	$53	649%
Prisma Health Seniorcare Pace-Upstate [5200]	$53	649%
Promise Health Plan Contracted [2401]	$80 - $138	979%
Orangeburg Senior Helping Center Pace [5401]	$92	1126%
Bob Jones Univ-Pai [821]	$138	1689%
Preferred Administrators Contracted [2839]	$161	1971%
Medcost [2940]	$170 - $191	2081%
Atlantic Packaging Contracted [4833]	$172	2105%
Aps Healthcare System [2981]	$184	2252%
Multiplan/Phcs Contracted [2950]	$205	2509%
Aetna	$207	2534%
Meritain Health Contracted [2200]	$207	2534%
Nippon [2300]	$207	2534%
Vsp Vision Care [2986]	$207	2534%
First Health Contracted [2952]	$214	2619%
Furman Int/Allen University Student [2951]	$214	2619%
Quiktrip-First Health [3067]	$214	2619%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $71.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Blount Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.