CMS Price Transparency Data

Blood test, liver function panel

Facility: Tristar Northcrest Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $147
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Tristar Northcrest Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $147. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 100 Northcrest Drive, Springfield, TN.
Cash / Self-Pay
$147

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: $147 (1799%)
Insurance Median: $9 (110%)
Cash: $147 (1799% 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 - $73 73%
Alive Hospice $8 98%
Ambetter / Centene $8 - $9 98%
Amerigroup $8 98%
Blue Cross Blue Shield $8 - $9 98%
Bright Health $8 - $9 98%
Devoted Health Plan $8 98%
Healthspring $8 98%
Humana $8 - $33 98%
Molina $8 98%
United $8 - $66 98%
Wellcare $8 - $11 98%
Zing $8 98%
American Health Advantage $9 110%
Atrio Golden Times $9 110%
Evergreen Hmo $9 110%
Novanet $12 147%
Prime Health $12 147%
Cigna $14 - $43 171%
Oscar $25 306%
Nhc Advantage, Inc. $28 343%
City Of Springfield $95 1163%
Multiplan $114 - $120 1395%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Northcrest Drive, Springfield, TN 37172
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals