CMS Price Transparency Data

Blood test, liver function panel

Facility: Tristar Southern Hills Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $16
  • Cash Discount Price: $1,666
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Tristar Southern Hills Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,666. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.96x the Medicare baseline. Located in 391 Wallace Rd, Nashville, TN.
Cash / Self-Pay
$1,666

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $1,666 (20392%)
Insurance Median: $16 (196%)
Cash: $1,666 (20392% of Medicare)
Ins. Median: $16 (196% 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 - $861 73%
Ambetter / Centene $8 - $9 98%
Amerigroup $8 98%
Blue Cross Blue Shield $8 - $25 98%
Bright Health $8 - $9 98%
Devoted Health Plan $8 98%
Healthspring $8 98%
Humana $8 - $431 98%
Odyssey Healthcare $8 98%
Sarah Cannon Research $8 98%
United $8 - $775 98%
Wellcare $8 98%
Zing $8 98%
American Health Advantage $9 110%
Atrio Golden Times $9 110%
Evergreen Hmo $9 110%
Signature Advantage $9 110%
Corvel Corporation $12 147%
Novanet $12 147%
Prime Health $12 - $1,516 147%
Cigna $14 - $562 171%
Oscar $25 306%
Kentucky Labor Cabinet $296 - $317 3623%
Apex Health $306 - $327 3745%
Nhc Advantage, Inc. $306 - $327 3745%
Pruitt Health (Allyalign) $306 - $327 3745%
Centurion $663 - $710 8115%
Bgfh Singlesource $805 - $1,464 9853%
Multiplan $934 - $999 11432%
Employers Health Network $1,127 - $1,206 13794%
Odom'S Tn Pride Sausage $1,208 - $1,292 14786%
Beech Street $1,417 - $1,516 17344%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 391 Wallace Rd, Nashville, TN 37211
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals