CMS Price Transparency Data

Blood test, liver function panel

Facility: Hill Country Memorial Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $1,439
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Hill Country Memorial Hospital is $8. 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 0.98x the Medicare baseline. Located in 1020 South State Highway 16, Fredericksburg, TX.
Cash / Self-Pay
$1,439

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $8 (98%)
Cash: $1,439 (17613% of Medicare)
Ins. Median: $8 (98% 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%
Community First Health Plans $6 - $389 73%
United $6 - $648 73%
Molina Healthcare $7 - $13 86%
Blue Cross Blue Shield $8 - $424 98%
Gonzaba Medical Group $8 98%
Ilumed $8 98%
Triwest $8 98%
Wellcare $8 98%
Wellmed $8 98%
Superior Health $9 - $72 110%
Triwest Health Alliance $9 110%
Cigna $13 - $18 159%
Superior $13 159%
Healthcare Highways $19 233%
Healthsmart Preferred Care $791 9682%
Multiplan $1,079 - $1,223 13207%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1020 South State Highway 16, Fredericksburg, TX 78624
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals