CMS Price Transparency Data

Blood test, liver function panel

Facility: Roane Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Roane Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 8045 Roane Medical Center Drive, Harriman, TN.
Cash / Self-Pay
$37

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: $37 (453%)
Insurance Median: $9 (110%)
Cash: $37 (453% 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
Beech Street $1 - $102 12%
Ccn Managed Care $1 - $102 12%
Direct Care America $1 - $96 12%
Galaxy Health Network $1 - $108 12%
Initial Group $1 - $106 12%
Medsave Usa $1 - $96 12%
National Provider Network $1 - $96 12%
Novanet $1 - $90 12%
Usa Managed Care Organization $1 - $84 12%
Wellpoint $4 - $9 49%
UnitedHealthcare $5 - $9 61%
Farm Bureau $8 98%
Humana $8 98%
Tricare $8 98%
Aetna $9 - $12 110%
Blue Cross Blue Shield $9 - $17 110%
Cigna $9 - $18 110%
Devoted Health $9 110%
Wellcare $9 110%
Ehn $54 661%
Correctional Medical Services $72 881%
Community Services Network $78 955%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8045 Roane Medical Center Drive, Harriman, TN 37748
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals