CMS Price Transparency Data

Blood test, liver function panel

Facility: Erlanger Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $10
  • Cash Discount Price: $103
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Erlanger Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.22x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.
Cash / Self-Pay
$103

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: $103 (1261%)
Insurance Median: $10 (122%)
Cash: $103 (1261% 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
Humana $2 - $15 24%
UnitedHealthcare $3 - $12 37%
Amerigroup $4 - $19 49%
Blue Cross Blue Shield $6 - $275 73%
Bluecard - Network P $6 - $23 73%
Bluecard - Network S $6 - $23 73%
Aetna $8 - $169 98%
Alexian $8 - $31 98%
American Health $8 98%
Bluecare $8 - $25 98%
Caresource $8 - $16 98%
Cigna $8 - $155 98%
Clover $8 98%
Devoted Health $8 - $24 98%
Upmc $8 98%
Wellpoint $8 98%
Atrio Health $9 - $29 110%
Nhc $9 110%
Ambetter / Centene $10 122%
Caresource Ga $12 - $21 147%
Caresource Nc $12 - $21 147%
Caresource Tn $12 - $21 147%
Point Comfort Underwriters $16 - $29 196%
Pruitthealth Premier $18 - $34 220%
Pnoa $20 245%
Olympus $189 - $258 2313%
Alliant $258 3158%
First Health $275 - $292 3366%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 E 3Rd St, Chattanooga, TN 37403
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals