CMS Price Transparency Data

Blood test, liver function panel

Facility: Medical City Green Oaks Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $30
  • Cash Discount Price: $564
  • vs. Medicare Baseline: 3.67x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Medical City Green Oaks Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $564. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 3.67x the Medicare baseline. Located in 7808 Clodus Fields Drive, Dallas, TX.
Cash / Self-Pay
$564

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $564 (6903%)
Insurance Median: $30 (367%)
Cash: $564 (6903% of Medicare)
Ins. Median: $30 (367% 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 367% of the Medicare baseline (a markup of 267%). 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
Care N Care $8 98%
Devoted Health $8 98%
Humana $8 - $367 98%
Integranet $8 98%
Mutual Of Omaha $8 98%
Triwest Veterans $8 98%
Wellcare $8 98%
American Health Plan Of Texas, Inc. $9 110%
Cenpatico $9 110%
Imperial Insurance Company $9 110%
Molina $9 110%
Procare Advantge $9 110%
Provider Partners Health Plan $9 110%
Texas Independent Health Plan $9 110%
Triwest Health Alliance $9 110%
Verda Health Plan $11 135%
Superior $15 - $18 184%
Molina Healthcare $21 257%
Superior Health Plan $39 477%
Healthcare Highways $138 - $191 1689%
Evry Health $146 1787%
City Of Mckinney $254 3109%
Pc Texas Partners $310 3794%
Physicians Coop Of Tx $310 3794%
Averde Health, Inc $327 4002%
Aetna $338 - $398 4137%
Magellan Bh $338 4137%
Value Options Behavioral Health $338 4137%
Usa Managed Care $367 4492%
Coastal Comp Health Networks $395 4835%
Cigna $451 5520%
Compsych Corporation $451 5520%
Galaxy Health Network $479 5863%
Three Rivers Provider Network $508 6218%
Independent Medical Systems $564 6903%
National Healthcare Solutions $564 6903%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7808 Clodus Fields Drive, Dallas, TX 75251
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Psychiatric