CMS Price Transparency Data

Blood test, liver function panel

Facility: St David's Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $16
  • Cash Discount Price: $1,447
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at St David's Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,447. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.96x the Medicare baseline. Located in 919 E 32Nd St, Austin, TX.
Cash / Self-Pay
$1,447

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: $1,447 (17711%)
Insurance Median: $16 (196%)
Cash: $1,447 (17711% 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
Blue Cross Blue Shield $6 - $462 73%
St David’S Hospice $6 - $8 73%
United $6 - $651 73%
Molina Healthcare $7 - $9 86%
Aetna $8 98%
Cigna $8 - $23 98%
Devoted Health $8 98%
Humana $8 98%
Odyssey Hospice $8 98%
Sendero $8 - $14 98%
Triwest Healthcare Alliance $8 98%
Triwest Veterans $8 98%
Wellmed $8 98%
American Health Plan Of Texas $9 110%
Imperial Insurance $9 110%
Provider Partners Health Plan $9 110%
Pyramid Life $9 110%
Shared Health $9 110%
Superior Health Plan $9 - $246 110%
Texas Independent Health Plan $9 110%
Triwest Health Alliance $9 110%
Wellcare $9 110%
Austin Fc $10 122%
Universal Health $10 122%
Amerigroup $11 135%
Naphcare $13 159%
Seven Corners $13 159%
Corvel Corporation $16 196%
Oscar $22 - $25 269%
Moda $340 4162%
Covenant Management Systems $417 5104%
Healthcare Highways $421 - $434 5153%
Imo Med - Select Network $434 5312%
Nomi Health $463 - $535 5667%
Moda Health $521 - $535 6377%
Evry Health $532 6512%
Texas Healthcare Foundation Heb $535 6548%
Texas Workforce Commission $564 6903%
Harbor Health Team $579 7087%
Averde Health $651 7968%
Comanche County $724 8862%
National Choicecare $724 8862%
Healthsmart Preferred Care $796 - $1,158 9743%
Independent Medical Systems $796 9743%
Physicians Cooperative Of Texas $796 9743%
Prime Health $868 10624%
First Health $912 - $1,040 11163%
Coastal Comp Health Networks $941 11518%
National Health Care $941 11518%
Occunet $1,013 12399%
Texas Municipal League $1,013 12399%
Medcorp Southwest $1,085 13280%
Rockport Healthcare Group $1,158 - $1,302 14174%
Bce Emergis Corporation $1,302 15936%
Beech Street $1,302 15936%
Medical Control Network Solutions $1,302 15936%
Multiplan $1,302 15936%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 919 E 32Nd St, Austin, TX 78705
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals