CMS Price Transparency Data

Blood test, liver function panel

Facility: Womans Hospital of Texas,The

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $1,375
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Womans Hospital of Texas,The is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,375. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$1,375

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $1,375 (16830%)
Insurance Median: $9 (110%)
Cash: $1,375 (16830% of Medicare)
Ins. Median: $9 (110% 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 - $43 73%
Amerigroup $6 - $8 73%
Community Health Choice Mcd $6 73%
Texas Childrens Health Plans $6 - $359 73%
Texas Health Network $6 73%
United $6 - $619 73%
Molina Healthcare $7 - $18 86%
Blue Cross Blue Shield $8 - $481 98%
Cigna $8 - $43 98%
Devoted Health $8 98%
Humana $8 - $109 98%
Integranet Amerigroup Ipa $8 98%
Kelsey Seybold $8 98%
Oscar $8 - $24 98%
Triwest Healthcare Alliance $8 98%
Van Lang Ipa $8 98%
Wellcare $8 98%
Wellmed $8 98%
American Health Plan $9 110%
Christus (Usfhp) $9 110%
Molina $9 110%
Procare Advantage $9 110%
Provider Partners Health Plan Of Texas $9 110%
Shared Health $9 110%
Superior Health Plan $9 - $83 110%
Triwest Health Alliance $9 110%
Universal Healthcare Group $10 122%
Verda Health Plan $11 135%
Community Health Choice $12 147%
Superior $12 - $13 147%
Corvel Corporation $16 196%
Omni Healthcare $17 208%
Healthcare Highways $25 306%
Evry Health $375 4590%
Imagine Health $481 5887%
Kelsey Care (Boon-Chapman) $481 5887%
Healthsmart Preferred Care $591 - $1,169 7234%
Averde Health $619 7576%
Fidelis Securecare Of Tx $619 7576%
Coventry National First Health $733 8972%
Physicians Cooperative Of Texas $756 9253%
Rockport Workers Comp $756 9253%
Independent Medical System $825 10098%
National Healthcare Solutions $825 10098%
Southwest Medical $825 10098%
Coastal Comp $894 10942%
Affiliated Ppo $1,032 12632%
Fiesta Mart, Inc $1,032 12632%
Multiplan $1,032 - $1,169 12632%
Physicians, Inc $1,169 14308%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals