CMS Price Transparency Data

Blood test, liver function panel

Facility: The Medical Center of Southeast Texas

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $11
  • Cash Discount Price: $729
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at The Medical Center of Southeast Texas is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $729. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.35x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$729

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $729 (8923%)
Insurance Median: $11 (135%)
Cash: $729 (8923% of Medicare)
Ins. Median: $11 (135% 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
UnitedHealthcare $5 - $10 61%
Community Health Choice Uhrip $7 86%
Medicaid / KanCare $7 - $9 86%
Medsolutions $7 86%
Texas Childrens Health Plan $7 - $10 86%
Amerigroup $8 - $58 98%
Blue Cross Blue Shield $8 - $301 98%
Caresact $8 98%
Cccn Pro Advantage $8 98%
Employer Direct Healthcare $8 - $10 98%
Healthspring $8 98%
Hospice $8 98%
Humana $8 - $21 98%
Medicare (plans) $8 98%
Molina Healthcare $8 - $11 98%
Provider Partners Health Plan $8 98%
Rice Land Hospice $8 98%
Selectcare $8 98%
Superior Healthplan $8 - $9 98%
Texas Medical Management Partners $8 - $10 98%
Tihp (Texas Independence Health Plan) $8 98%
Triwest $8 98%
Wellcare Of Texas $8 98%
Cigna $9 - $510 110%
Harbor Hospice $9 110%
League Medical Concepts $9 110%
Tricare $9 110%
Wellpath $9 110%
Community Health Choice $10 122%
Beacon Health $11 135%
Corporate Remedies $12 147%
Elap Services $16 196%
Texas Workers Compensation $16 196%
Self Pay Emergent $109 1334%
Dept Of Assistive And Rehabilitative Services $364 4455%
Aetna $423 - $481 5177%
Iasis Employees $437 5349%
Magellan Behavioral Health $437 5349%
First Health $510 6242%
Galaxy Health Network $510 6242%
Private Healthcare Systems $510 6242%
Texas Municipal League $510 6242%
Healthsmart $546 6683%
Multiplan $583 7136%
Commercial Non-Contracted $729 8923%
Heart To Heart Hospice $729 8923%
Lifesynch $729 8923%
Mhnet $729 8923%
Self Pay - Mcd Pending 100 Percent $729 8923%
Single Case Agreement $729 8923%
United Behavioral Health $729 8923%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals