CMS Price Transparency Data

Blood test, liver function panel

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $150
Cash Discount Price: $127
vs. Medicare Baseline: 18.36x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Holy Cross Hospital - Salt Lake is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 18.36x the Medicare baseline. Located in 1050 East South Temple, Salt Lake City, UT.

Cash / Self-Pay

$127

Average discount available for prompt cash payment at this facility.

Insurance Median

$150

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: $127 (1554%)

Insurance Median: $150 (1836%)

Cash: $127 (1554% of Medicare)

Ins. Median: $150 (1836% 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 1836% of the Medicare baseline (a markup of 1736%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$6 - $190	73%
Cigna	$7 - $254	86%
Denver Health	$7	86%
Health Choice	$7	86%
Medicaid / KanCare	$7	86%
Rocky Mountain Health Plan	$7	86%
Uuhp	$7 - $19	86%
Humana	$8	98%
Medicare (plans)	$8	98%
Centura Employee Plan	$10	122%
Employer Direct Healthcare	$10	122%
UnitedHealthcare	$10	122%
Motivhealth	$11	135%
Molina	$17 - $136	208%
Pehp	$135 - $317	1652%
Aetna	$140 - $268	1714%
Wise	$165 - $168	2020%
Deseret Mutual Benefit Administrators	$195	2387%
Select Health	$210	2570%
Multiplan	$219 - $289	2681%
Emi Health	$317	3880%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $127.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Holy Cross Hospital - Salt Lake is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.