CMS Price Transparency Data

Blood test, liver function panel

Facility: Texas Orthopedic Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $2,455
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Texas Orthopedic Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,455. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 7401 South Main Street, Houston, TX.
Cash / Self-Pay
$2,455

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: $2,455 (30049%)
Insurance Median: $9 (110%)
Cash: $2,455 (30049% 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 - $47 73%
Amerigroup $6 - $8 73%
Community Health Choice Mcd $6 73%
Texas Childrens Health Plans $6 - $407 73%
Texas Health Network $6 73%
United $6 - $1,105 73%
Molina Healthcare $7 - $18 86%
Blue Cross Blue Shield $8 - $859 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 - $147 110%
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%
Texas Workforce Commission $589 7209%
Evry Health $670 8201%
Imagine Health $859 10514%
Healthsmart Preferred Care $1,055 - $2,086 12913%
Averde Health $1,105 13525%
Fidelis Securecare Of Tx $1,105 13525%
Coventry National First Health $1,308 16010%
Physicians Cooperative Of Texas $1,350 16524%
Rockport Workers Comp $1,350 16524%
Independent Medical System $1,473 18029%
National Healthcare Solutions $1,473 18029%
Southwest Medical $1,473 18029%
Coastal Comp $1,595 19523%
Multiplan $1,841 - $2,086 22534%
International Health Insurance $1,964 24039%
Physicians, Inc $2,086 25532%
Affiliated Ppo $2,209 27038%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7401 South Main Street, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals