CMS Price Transparency Data

Blood test, liver function panel

Facility: Sycamore Shoals Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $10
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Sycamore Shoals Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.22x the Medicare baseline. Located in 1501 West Elk Avenue, Elizabethton, TN.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $14 (171%)
Insurance Median: $10 (122%)
Cash: $14 (171% of Medicare)
Ins. Median: $10 (122% 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
Amerigroup $4 - $8 49%
Aetna $8 - $58 98%
Blue Cross Blue Shield $8 - $39 98%
Humana $8 98%
Managed Medicaire $8 98%
Medicare (plans) $8 98%
Molina Healthcare $8 - $11 98%
Sentara Health $8 - $25 98%
United Mine Workers Of America $8 98%
UnitedHealthcare $8 - $10 98%
Cigna $9 - $32 110%
Devoted Health Plan $9 110%
Nhc Advantage $9 110%
Wellcare $9 - $91 110%
Optima Health $10 122%
Ambetter / Centene $18 220%
Medcost $32 392%
First Health Coventry $68 832%
Seven Corners, Inc. $91 1114%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 West Elk Avenue, Elizabethton, TN 37643
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals