CMS Price Transparency Data

Blood test, liver function panel

Facility: CHI St Lukes Lakeside Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $16
  • Cash Discount Price: $327
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at CHI St Lukes Lakeside Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $327. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.96x the Medicare baseline. Located in 17400 St Lukes Way, The Woodlands, TX.
Cash / Self-Pay
$327

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $327 (4002%)
Insurance Median: $16 (196%)
Cash: $327 (4002% of Medicare)
Ins. Median: $16 (196% 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
Renaissance $6 73%
Blue Cross Blue Shield $7 - $42 86%
UnitedHealthcare $7 - $771 86%
Wellpoint $7 - $13 86%
Aetna $8 - $634 98%
Amerivantage $8 98%
Cigna $8 - $653 98%
Humana $8 - $606 98%
Kelsey $8 98%
Selectcare $8 98%
Devoted $9 110%
Kindred $9 110%
Scanhealth $9 110%
Tchp $9 - $13 110%
United $10 - $439 122%
Chc $11 - $513 135%
Kelseycare $11 135%
Ambetter / Centene $12 147%
Community Health Choice $12 147%
Harris Health $12 147%
Bright Health $13 159%
Nx Health $27 330%
Tchpchip $327 - $411 4002%
Texastruechoice $513 6279%
Coventry $606 7417%
First Health $606 7417%
Healthsmart $653 7993%
Interlink $653 7993%
Multiplan $700 8568%
USA Health Network $793 9706%
Mhealth Network $933 11420%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17400 St Lukes Way, The Woodlands, TX 77384
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals