CMS Price Transparency Data

Blood test, liver function panel

Facility: Methodist Southlake Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $13
  • Cash Discount Price: $288
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Methodist Southlake Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $288. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.59x the Medicare baseline. Located in 421 E State Highway 114, Southlake, TX.
Cash / Self-Pay
$288

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $288 (3525%)
Insurance Median: $13 (159%)
Cash: $288 (3525% of Medicare)
Ins. Median: $13 (159% 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
Bind Benefits Inc [1004] $5 61%
Definity Health [3006] $5 61%
Freedom Life Insurance Company [2029] $5 61%
Geha Federal [3066] $5 61%
Tml Intergovernmental Employee Benefits [3050] $5 61%
UnitedHealthcare $5 - $9 61%
Aetna $8 - $323 98%
Blue Cross Blue Shield $8 - $26 98%
Medicare (plans) $8 - $9 98%
Ust Health Proof [1005] $8 98%
Wellcare [7016] $8 98%
American Health Advantage Of Texas [7099] $9 110%
Cigna $9 - $15 110%
Globalhealth [1003] $9 110%
Humana $9 110%
Procare Advantage [7018] $9 110%
Provider Partners Health Plan [7025] $9 110%
Southwestern Health Resources Swhr [7015] $9 110%
Alternative Service Concepts [8005] $10 122%
Bright Healthcare [2222] $11 135%
Oscar Insurance Company [2057] $11 135%
Molina [3017] $12 147%
90 Degree Benefit [3057] $13 159%
Allied National [2031] $13 159%
Entrust/90 Degree [2058] $13 159%
Kempton Group Administrators, Tower Extrusions [3061] $13 159%
Wellpoint Marketplace Exchange [3071] $13 159%
Ambetter / Centene $14 171%
Friday Health Plan [2061] $14 171%
Imperial Insurance Companies [3073] $15 184%
Web Tpa [3049] $15 - $35 184%
Department Of Labor [8004] $16 196%
Evry Health [1013] $16 196%
Generic Workers Comp Tx Non Par [9010] $16 196%
Generic Workers Comp Tx Par [8002] $16 196%
Generic Workers Comp Tx Par [9011] $16 196%
Sana Benefits [3069] $16 196%
Tristar Risk Management [8006] $16 196%
Velocity [3070] $16 196%
Health Plans Inc [5017] $20 245%
Medical Cost Containment Professionals [3059] $20 245%
Dart Member Care [3039] $22 269%
Healthscope Benefits [2052] $22 269%
Healthscope Benefits [3063] $22 269%
Medicaid / KanCare $24 - $29 294%
Scott & White Health Plan Trs [3062] $323 3953%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 E State Highway 114, Southlake, TX 76092
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals