CMS Price Transparency Data

Blood test, liver function panel

Facility: Northwest Hills Surgical Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $11
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Northwest Hills Surgical Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.35x the Medicare baseline. Located in 6818 Austin Ctr Blvd Suite 100, Austin, TX.
Cash / Self-Pay
$11

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: $11 (135%)
Insurance Median: $11 (135%)
Cash: $11 (135% 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
Ambetter / Centene $7 - $9 86%
Blue Cross Blue Shield $7 - $38 86%
Dell Chip/Chip Perinate $7 - $8 86%
Dell Star $7 86%
UnitedHealthcare $7 86%
Wellpoint Chip/Chip Perinate $7 - $8 86%
Wellpoint Star $7 - $8 86%
Wellpoint Star Kids $7 86%
Wellpoint Star Plus $7 - $8 86%
Champva $10 - $11 122%
Humana $13 159%
Superior Star $13 159%
Superior Star Foster $13 159%
Superior Star Kids $13 159%
Superior Star Plus $13 159%
Superior Chip/Chip Perinate $14 171%
Cigna $19 233%
Seton Performance Plus $20 245%
Aetna $22 - $61 269%
Covenant Health $45 551%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6818 Austin Ctr Blvd Suite 100, Austin, TX 78731
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals