CMS Price Transparency Data

Blood test, liver function panel

Facility: Medical City Lewisville

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $12
  • Cash Discount Price: $2,436
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Medical City Lewisville is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,436. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.47x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$2,436

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $2,436 (29816%)
Insurance Median: $12 (147%)
Cash: $2,436 (29816% of Medicare)
Ins. Median: $12 (147% 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
Cook Childrens Health Plan $5 61%
Aetna $6 - $1,771 73%
Amerigroup $6 - $8 73%
Cigna $6 - $341 73%
Parkland Community Health Plan $6 73%
Texas Health Network $6 73%
United $6 - $485 73%
Molina $7 - $9 86%
Blue Cross Blue Shield $8 - $1,082 98%
Care N Care $8 98%
Devoted Health $8 98%
Humana $8 - $91 98%
Integranet $8 98%
Mutual Of Omaha $8 98%
Triwest Health Alliance $8 98%
Wellcare $8 98%
Wellmed $8 98%
American Health Plan Of Texas, Inc. $9 110%
Imperial Insurance Company $9 110%
Procare Advantge $9 110%
Provider Partners Health Plan $9 110%
Superior Health Plan $9 - $171 110%
Texas Independent Health Plan $9 110%
Universal Healthcare Group $10 122%
Verda Health Plan $11 135%
Bravo Health $12 147%
Superior $15 - $18 184%
Corvel Corporation $16 196%
Usa Managed Care $16 - $1,949 196%
Molina Healthcare $21 257%
Oscar $21 257%
Unicare $585 - $2,436 7160%
Healthcare Highways $597 - $823 7307%
Evry Health $629 7699%
City Of Mckinney $1,096 13415%
Fidelis Securecare $1,096 13415%
National Choicecare $1,218 14908%
Pc Texas Partners $1,340 16401%
Physicians Coop Of Tx $1,340 16401%
Rockport Health Group $1,340 16401%
Averde Health, Inc $1,413 17295%
Usc Health Services $1,462 17895%
Coastal Comp Health Networks $1,705 20869%
Jostens $1,705 20869%
Mega Life $1,705 20869%
Multiplan Phcs $1,705 20869%
Healthsmart Preferred Care $1,827 22362%
Lewisville Isd/Dls Consulting $1,827 22362%
Galaxy Health Network $2,071 25349%
Independent Medical Systems $2,436 29816%
National Healthcare Solutions $2,436 29816%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals