CMS Price Transparency Data

Blood test, liver function panel

Facility: Reston Hospital Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $31
Cash Discount Price: $810
vs. Medicare Baseline: 3.79x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Reston Hospital Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $810. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 3.79x the Medicare baseline. Located in 1850 Town Center Parkway, Reston, VA.

Cash / Self-Pay

$810

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $810 (9914%)

Insurance Median: $31 (379%)

Cash: $810 (9914% of Medicare)

Ins. Median: $31 (379% 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 379% of the Medicare baseline (a markup of 279%). 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
Aetna	$8	98%
Blue Cross Blue Shield	$8 - $43	98%
Cigna	$8 - $33	98%
Davita Village Health	$8	98%
Devoted	$8	98%
Humana	$8 - $9	98%
Johns Hopkins	$8	98%
Sentara Health	$8	98%
United	$8 - $364	98%
Virginia Premier Health	$8	98%
Align Senior Care	$9	110%
Clear Spring Health Plan	$9	110%
Pyramid Life	$9	110%
Bright Health	$17	208%
Carefirst	$46	563%
Lifeworks	$154	1885%
Universal Healthcare Group	$178	2179%
Greenvbrier Sporting Club	$486	5949%
Virginia Health Network	$575	7038%
Corvel	$583	7136%
Occunet Workers Comp	$648	7931%
4Most Health Network	$729	8923%

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 $810.
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 Reston Hospital Center 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.