CMS Price Transparency Data

Blood test, liver function panel

Facility: Medical City North Hills

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $12
  • Cash Discount Price: $1,614
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Medical City North Hills is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,614. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.47x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$1,614

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $1,614 (19755%)
Insurance Median: $12 (147%)
Cash: $1,614 (19755% of Medicare)
Ins. Median: $12 (147% 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
Cook Childrens Health Plan $5 61%
Aetna $6 - $1,173 73%
Amerigroup $6 - $8 73%
Cigna $6 - $1,291 73%
Parkland Community Health Plan $6 73%
United $6 - $347 73%
Molina $7 - $9 86%
Blue Cross Blue Shield $8 - $716 98%
Care N Care $8 98%
Devoted Health $8 98%
Humana $8 - $91 98%
Integranet $8 98%
Mutual Of Omaha $8 98%
Triwest Veterans $8 98%
Wellcare $8 98%
Wellmed $8 98%
American Health Plan Of Texas, Inc. $9 110%
Cenpatico $9 110%
Imperial Insurance Company $9 110%
Procare Advantge $9 110%
Provider Partners Health Plan $9 110%
Superior Health Plan $9 - $113 110%
Texas Independent Health Plan $9 110%
Triwest Health Alliance $9 110%
Universal Healthcare Group $10 122%
Verda Health Plan $11 135%
Bravo Health $12 147%
Superior $15 - $18 184%
Corvel Corporation $16 196%
Usa Managed Care $16 - $1,291 196%
Molina Healthcare $21 257%
Oscar $21 257%
Unicare $339 - $1,614 4149%
Healthcare Highways $395 - $545 4835%
Evry Health $416 5092%
City Of Mckinney $726 8886%
Fidelis Securecare $726 8886%
National Choicecare $807 9878%
Pc Texas Partners $888 10869%
Physicians Coop Of Tx $888 10869%
Rockport Health Group $888 10869%
Averde Health, Inc $936 11457%
Magellan Behavior Health $968 11848%
Coastal Comp Health Networks $1,130 13831%
Mega Life $1,130 13831%
Multiplan Phcs $1,130 13831%
Healthsmart Preferred Care $1,210 14810%
Lewisville Isd/Dls Consulting $1,210 14810%
Usc Health Services $1,291 15802%
Galaxy Health Network $1,372 16793%
Independent Medical Systems $1,614 19755%
National Healthcare Solutions $1,614 19755%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals