CMS Price Transparency Data

Blood test, liver function panel

Facility: Marshall Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Marshall Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 1080 North Ellington Parkway, Lewisburg, TN.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $38 (465%)
Insurance Median: $8 (98%)
Cash: $38 (465% of Medicare)
Ins. Median: $8 (98% 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
Blue Cross Blue Shield $5 - $27 61%
UnitedHealthcare $6 - $8 73%
Aetna $8 - $73 98%
Ambetter / Centene $8 98%
American Health Plans $8 98%
Cigna $8 - $33 98%
Farm Bureau Health Plans $8 98%
Humana $8 - $21 98%
Medicare (plans) $8 98%
Nhc $8 98%
Oscar $8 98%
Wellcare Harmony Health $8 98%
Wellpoint $8 98%
Wayne County Jail $40 490%
Marshall County Jail $61 747%
Multiplan $65 796%
Phcs $65 796%
Firsthealth $69 845%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1080 North Ellington Parkway, Lewisburg, TN 37091
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals