CMS Price Transparency Data

Blood test, liver function panel

Facility: Ascension Seton Southwest

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $163
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Ascension Seton Southwest is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $163. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 7900 Fm 1826, Austin, TX.
Cash / Self-Pay
$163

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $163 (1995%)
Insurance Median: $8 (98%)
Cash: $163 (1995% of Medicare)
Ins. Median: $8 (98% 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 - $15 86%
Blue Cross Blue Shield $7 - $38 86%
Dell Chip/Chip Perinate $7 - $8 86%
Dell Star $7 - $9 86%
UnitedHealthcare $7 - $9 86%
Wellpoint Chip/Chip Perinate $7 - $8 86%
Wellpoint Star $7 - $8 86%
Wellpoint Star Kids $7 86%
Wellpoint Star Plus $7 - $8 86%
Aarp Mc Wellmed $8 98%
Addr Cancer Together $8 98%
Aetna $8 - $61 98%
Connected Senior Care $8 98%
Covid Hrsa $8 98%
Cshcn Cidc $8 98%
Devoted Health Mcr Replacement $8 98%
Humana $8 - $13 98%
Medicare (plans) $8 98%
Research Study $8 98%
Sendero Chap $8 98%
Smarthealth $8 98%
Superior Allwell $8 98%
Tricare $8 98%
Wellcare Med Advantage $8 98%
Pphp Mcr Advantage $9 110%
Tx Independence Hp $9 110%
Champva $10 - $11 122%
Occunet $11 135%
Sendero Idealcare $14 171%
Cigna $19 233%
Seton Performance Plus $20 245%
Covenant Health $45 551%
Superior Star $182 2228%
Superior Star Foster $182 2228%
Superior Star Kids $182 2228%
Superior Star Plus $182 2228%
Superior Chip/Chip Perinate $204 2497%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7900 Fm 1826, Austin, TX 78737
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals