CMS Price Transparency Data

Blood test, liver function panel

Facility: Cedar City Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $48
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 5.88x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Cedar City Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 5.88x the Medicare baseline. Located in 1303 North Main Street, Cedar City, UT.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $40 (490%)
Insurance Median: $48 (588%)
Cash: $40 (490% of Medicare)
Ins. Median: $48 (588% 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 588% of the Medicare baseline (a markup of 488%). 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
Health Choice $7 - $48 86%
Health Plan Of Nevada $7 - $48 86%
Healthy U $7 - $48 86%
Molina $7 - $51 86%
Selecthealth $7 - $55 86%
Triwest $7 86%
Aetna $8 - $55 98%
American Health $8 98%
Blue Cross Blue Shield $8 - $55 98%
Health Partners Of Nevada $8 98%
Humana $8 - $9 98%
Southwest Behavioral Health $8 98%
UnitedHealthcare $8 - $48 98%
Corporation Of The President $40 490%
Corvel Corporation $40 490%
Injury Care Of Nevada $40 490%
Wcf Insurance $40 490%
Byu Risk Management $45 551%
Awh Connected $48 - $55 588%
Byu Athletic Department $48 - $55 588%
Campbell Scientific $48 - $55 588%
Deseret Mutual $48 - $55 588%
Emi $48 - $55 588%
Emi Health $48 - $55 588%
Franklin County $48 - $55 588%
Global Excel $48 588%
Ifit $48 - $55 588%
Juniper Systems $48 - $55 588%
Lw Miller $48 - $55 588%
Managed Care Admin $48 - $55 588%
Medcare International $48 588%
Motivhealth $48 - $55 588%
Pehp $48 - $55 588%
Prodegi Corp Benefit $48 - $55 588%
Tanner Llc $48 - $55 588%
Uofu $48 - $51 588%
Utah Tech $48 - $55 588%
Wise Network $48 - $55 588%
Cigna $51 - $55 624%
Health Utah $51 624%
Hygeia Corporation $51 624%
Springtide $51 624%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 North Main Street, Cedar City, UT 84721
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals