CMS Price Transparency Data

Blood test, liver function panel

Facility: Intermountain Health Garfield Memorial Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $51
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 6.24x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Intermountain Health Garfield Memorial Hospital is $51. 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 6.24x the Medicare baseline. Located in 200 North 400 East, Panguitch, UT.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $51 (624%)
Cash: $40 (490% of Medicare)
Ins. Median: $51 (624% 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 624% of the Medicare baseline (a markup of 524%). 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 Utah $8 - $48 98%
Healthy U $8 - $48 98%
Medicare (plans) $8 - $20 98%
Molina $8 - $51 98%
Molina Healthcare Of Utah $8 - $51 98%
Selecthealth $8 - $55 98%
Uofu $8 - $51 98%
Aetna $9 - $55 110%
Tricare $23 - $28 282%
Triwest $23 - $28 282%
UnitedHealthcare $44 - $45 539%
Blue Cross Blue Shield $51 624%
Byu Athletic Department $51 - $55 624%
Campbell Scientific $51 - $55 624%
Cigna $51 - $55 624%
Deseret Mutual $51 - $55 624%
Emi Health $51 - $55 624%
Franklin County $51 - $55 624%
Health Utah $51 - $55 624%
Hygeia Corporation $51 624%
Juniper Systems $51 - $55 624%
Lw Miller $51 - $55 624%
Managed Care Administrators, Inc. $51 - $55 624%
Medcare International $51 624%
Motivhealth $51 - $55 624%
Pehp $51 - $55 624%
Prodegi Corporate Benefit Services, Llc $51 - $55 624%
Springtide $51 624%
Tanner Llc $51 - $55 624%
Utah State University $51 - $55 624%
Utah Tech University $51 - $55 624%
Wise $51 - $55 624%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 North 400 East, Panguitch, UT 84759
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals