CMS Price Transparency Data

Blood test, liver function panel

Facility: Doctors Hosptal at Renaissance

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $23
  • Cash Discount Price: $193
  • vs. Medicare Baseline: 2.82x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Doctors Hosptal at Renaissance is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 2.82x the Medicare baseline. Located in 5501 South McColl, Edinburg, TX.
Cash / Self-Pay
$193

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $193 (2362%)
Insurance Median: $23 (282%)
Cash: $193 (2362% of Medicare)
Ins. Median: $23 (282% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 282% of the Medicare baseline (a markup of 182%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Driscoll $7 86%
Molina $7 - $10 86%
Superior $7 - $10 86%
UnitedHealthcare $7 86%
Wellcare/Allwell $7 86%
Blue Cross Blue Shield $8 - $40 98%
Humana $8 98%
Wellcare $9 110%
Cl Frates $18 220%
Aetna $66 - $79 808%
Healthsmart $85 - $89 1040%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5501 South McColl, Edinburg, TX 78539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals