CMS Price Transparency Data

Blood test, liver function panel

Facility: Methodist Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $13
  • Cash Discount Price: $1,439
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Methodist Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,439. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.59x the Medicare baseline. Located in 7700 Floyd Curl Dr, San Antonio, TX.
Cash / Self-Pay
$1,439

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $1,439 (17613%)
Insurance Median: $13 (159%)
Cash: $1,439 (17613% of Medicare)
Ins. Median: $13 (159% 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
Aetna $6 - $8 73%
Amerigroup $6 - $201 73%
Community First Health Plans $6 - $389 73%
United $6 - $648 73%
Usa Managed Care Chip $6 73%
Molina Healthcare $7 - $13 86%
Blue Cross Blue Shield $8 - $424 98%
Devoted Health $8 98%
Gonzaba Medical Group $8 98%
Humana $8 - $935 98%
Ilumed $8 98%
Integranet $8 98%
Lighthouse Hospice $8 98%
Triwest $8 98%
Triwest Va Pccc $8 98%
UnitedHealthcare $8 - $1,439 98%
Wellcare $8 98%
Wellmed $8 98%
American Health Plan Of Texas $9 110%
Clover Insurance $9 110%
Superior Health $9 - $72 110%
Texas Independent Health Plan $9 110%
Triwest Health Alliance $9 110%
Value Options $9 110%
Focus Healthcare Management $11 135%
Cigna $13 - $417 159%
Superior $13 159%
Focus Health Solutions $19 233%
Healthcare Highways $19 233%
Oscar $22 269%
Imperial Insurance $273 3341%
Valenz $504 6169%
Evry Health $530 6487%
Fidelis Securecare $648 7931%
Emerging Therapy Solutions $705 - $964 8629%
Evernorth Behavioral Health $719 8800%
National Choicecare $719 8800%
Texas Healthcare Foundation Heb $719 8800%
Tx Healthcare Foundation $719 8800%
Healthsmart Preferred Care $791 9682%
Independent Medical Systems $791 9682%
Physician Cooperative Of Texas $791 9682%
Haa Preferred Partners $863 10563%
San Antonio Employers Health Alliance $863 10563%
Coastal Comp Health Networks $935 11444%
National Healthcare Solutions $935 11444%
Tml Intergovernmental Ebp $1,007 12326%
Multiplan $1,079 - $1,223 13207%
Usa Managed Care $1,079 - $1,151 13207%
Blue Bell $1,151 14088%
Directcare America $1,151 14088%
Managed Healthcare $1,223 14969%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7700 Floyd Curl Dr, San Antonio, TX 78229
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals