CMS Price Transparency Data

Blood test, liver function panel

Facility: University Health System, Inc

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $38
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 4.65x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at University Health System, Inc is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 4.65x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $24 (294%)
Insurance Median: $38 (465%)
Cash: $24 (294% of Medicare)
Ins. Median: $38 (465% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 465% of the Medicare baseline (a markup of 365%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
UnitedHealthcare $3 - $67 37%
Aetna $8 - $67 98%
Blue Cross Blue Shield $8 - $61 98%
Cigna $8 - $73 98%
Devoted Health $8 98%
Humana $8 98%
American Health $9 110%
Medicare (plans) $9 110%
Nhc $9 110%
Wellcare-Windsor Medadv $9 110%
Wellpoint $9 - $10 110%
Fentress County Sheriffs Dept $38 465%
Multiplan $58 710%
Nx Health $58 710%
Phcs $58 710%
Naphcare $62 759%
Coventry $67 820%
Beechstreet $72 881%
Prime Health $72 - $96 881%
Seven Corners $72 881%
Usa $77 942%
Evolutions $86 1053%
Galaxy $86 1053%
Healthsmart $86 1053%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1924 Alcoa Highway, Knoxville, TN 37920
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals