CMS Price Transparency Data

Blood test, liver function panel

Facility: Rio Grande Regional Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $11
  • Cash Discount Price: $1,983
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Rio Grande Regional Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,983. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.35x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
$1,983

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: $1,983 (24272%)
Insurance Median: $11 (135%)
Cash: $1,983 (24272% 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
Aetna $6 - $8 73%
Driscoll Children'S Health Plan $6 73%
Texas Health Network $6 73%
United $6 - $893 73%
Molina Healthcare $7 - $20 86%
Allegian Health $8 - $793 98%
Blue Cross Blue Shield $8 - $893 98%
Cigna $8 - $30 98%
Humana $8 - $28 98%
Independent Medical System $8 98%
Triwest Healthcare Alliance $8 98%
Wellmed $8 98%
American Health Plan $9 110%
Molina $9 110%
Physicians Health Choice $9 110%
Prominence Health $9 110%
Provider Partners Health Plan Of Texas $9 110%
Shared Health $9 110%
Superior Health Plan $9 - $139 110%
Triwest Health Alliance $9 110%
Universal Health Care $10 122%
Superior $13 159%
Corvel Corporation $16 196%
Focus Healthcare $16 196%
Omni Healthcare $17 208%
Oscar $19 233%
Healthcare Highways $25 306%
Texas Workforce Commission $476 5826%
Averde Health $655 8017%
Healthsmart Preferred Care $853 - $1,686 10441%
First Health $1,141 13966%
National Healthcare Solutions $1,190 14565%
Southwest Medical $1,190 14565%
Coastal Comp $1,289 15777%
Usa Managed Care $1,289 - $1,587 15777%
Ppo Next/ Medical Control $1,488 18213%
Beech Street $1,587 19425%
Multiplan $1,587 19425%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals