CMS Price Transparency Data

Blood test, liver function panel

Facility: Lewisgale Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $169
  • Cash Discount Price: $889
  • vs. Medicare Baseline: 20.69x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Lewisgale Medical Center is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $889. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 20.69x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.
Cash / Self-Pay
$889

Average discount available for prompt cash payment at this facility.

Insurance Median
$169

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: $889 (10881%)
Insurance Median: $169 (2069%)
Cash: $889 (10881% of Medicare)
Ins. Median: $169 (2069% 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 2069% of the Medicare baseline (a markup of 1969%). 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
Triatlantic $7 86%
Aetna $8 98%
Blue Cross Blue Shield $8 - $51 98%
Cigna $8 - $155 98%
Devoted $8 98%
Evernorth Behavioral Health $8 98%
Good Samaritan Hospice $8 98%
Health Net $8 98%
Humana $8 98%
Sentara Health $8 98%
United $8 - $400 98%
United Behavioral Health $8 98%
United Mine Workers $8 98%
Virginia Premier Health $8 98%
Align Senior Care $9 110%
Clear Spring Health Plan $9 110%
Pyramid Life $9 110%
Greenbrier Sporting Club $12 147%
Lifeworks $169 2069%
Universal Healthcare Group $196 2399%
Virginia Health Network $311 - $631 3807%
Naphcare $444 5435%
Greenvbrier Sporting Club $533 6524%
Graham-White Manufacturing $622 7613%
Richfield Nursing Center $622 7613%
Corvel $640 7834%
Community Care Network $667 8164%
Richfield Retirement Community $667 8164%
Csx Hotels $711 8703%
Occunet Workers Comp $711 8703%
One Health Plan $711 8703%
Patients Choice $782 9572%
4Most $800 9792%
Alleghany Highland Community $800 9792%
American Postal Workers Union $800 9792%
C&O Employees Hospital Assn $800 9792%
Multiplan $800 9792%
Phcs $800 9792%
Star Transportation $800 9792%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Electric Road, Salem, VA 24153
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals