CMS Price Transparency Data

Blood test, liver function panel

Facility: Dallas Regional Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Dallas Regional Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 1011 North Galloway Avenue, Mesquite, TX.
Cash / Self-Pay
$8

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: $8 (98%)
Insurance Median: $9 (110%)
Cash: $8 (98% 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 $5 - $12 61%
Blue Cross Blue Shield $7 - $31 86%
Cigna $7 - $8 86%
Medicaid / KanCare $7 - $33 86%
Molina $7 - $35 86%
Superior Health Plan/Wellcare $7 - $26 86%
UnitedHealthcare $7 - $32 86%
Wellpoint Amerigroup $7 - $33 86%
Care N Care Insurance Company $8 98%
Careworks Fka (Rockport Community Network) Workercomp $8 98%
Medicare (plans) $8 98%
Texas Bluebonnett Health Plan $8 - $13 98%
Tricare $8 98%
Usa Senior Care Network $8 98%
Wellmed $8 98%
American Health Plan $9 110%
Imperial Insurance Companies Mcr $9 110%
Multiplan $9 110%
Provider Partners Health Plan $9 110%
Hi Card $10 122%
American Correction Healthcare $11 135%
Employee Direct Healthcare $11 135%
Total Plans Srvices $11 135%
Worker Compensation $11 - $16 135%
Corporate Remedies Workers Comp $12 147%
Wellpath $12 147%
Elap Services $13 159%
Naphcare -Prison $13 159%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1011 North Galloway Avenue, Mesquite, TX 75149
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals