CMS Price Transparency Data

Blood test, liver function panel

Facility: Baptist Beaumont Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $72
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 8.81x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Baptist Beaumont Hospital is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 8.81x the Medicare baseline. Located in 3080 College Street, Beaumont, TX.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$72

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: $58 (710%)
Insurance Median: $72 (881%)
Cash: $58 (710% of Medicare)
Ins. Median: $72 (881% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 881% of the Medicare baseline (a markup of 781%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $8 - $30 98%
Ameri-Plus Ppo-All Plans $8 98%
Blue Cross Blue Shield $8 - $24 98%
Cigna $8 - $324 98%
Superior Health Plan Mcr Adv $8 98%
Texan Plus-All Plans $8 98%
Superior Health Plan Comm - All Other Plans $9 110%
Texas Exchange Plans - All Plans $9 110%
Correctcare - All Plans $12 147%
Naphcare Inc - All Plans $12 147%
Texas School Health Benefits - All Plans $12 147%
Americhoice - All Plans $14 - $75 171%
Amerigroup - All Plans $14 - $75 171%
Community Health Choice - All Plans $14 - $75 171%
Medicaid / KanCare $14 - $97 171%
Preferred Care Services - All Plans $14 171%
Tchp Chips - All Plans $14 - $75 171%
Beacon Health - All Plans $17 - $86 208%
Brookshire Brothers - All Plans $18 220%
Imagine Healthcare (Smartcare) - All Plans $32 392%
Signature Health - All Plans $45 - $233 551%
Central Healthcare Services - All Plans $72 - $373 881%
Humana $72 - $451 881%
Mhhnp-All Plans $72 - $373 881%
Pponext - All Plans $94 - $485 1151%
Multiplan - All Plans $101 - $522 1236%
Phcs - All Plans $101 - $522 1236%
First Health - All Plans $108 - $560 1322%
Healthsmart - All Plans $108 - $560 1322%
Managed Healthcare Inc - All Plans $108 - $560 1322%
Blue Bell - All Plans $115 - $597 1408%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3080 College Street, Beaumont, TX 77701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals