CMS Price Transparency Data

Blood test, liver function panel

Facility: Lewisgale Hospital Montgomery

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $127
  • Cash Discount Price: $696
  • vs. Medicare Baseline: 15.54x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Lewisgale Hospital Montgomery is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $696. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 15.54x the Medicare baseline. Located in 3700 South Main Street, Blacksburg, VA.
Cash / Self-Pay
$696

Average discount available for prompt cash payment at this facility.

Insurance Median
$127

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: $696 (8519%)
Insurance Median: $127 (1554%)
Cash: $696 (8519% of Medicare)
Ins. Median: $127 (1554% 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 1554% of the Medicare baseline (a markup of 1454%). 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 - $39 98%
Cigna $8 - $121 98%
Devoted $8 98%
Good Samaritan Hospice $8 98%
Health Net $8 98%
Humana $8 98%
Sentara Health $8 98%
United $8 - $313 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%
Lifeworks $132 1616%
Universal Healthcare Group $153 1873%
Virginia Health Network $244 - $494 2987%
Greenvbrier Sporting Club $418 5116%
Corvel $501 6132%
Richfield Nursing Center $522 6389%
Richfield Retirement Community $522 6389%
Multiplan $536 6561%
Community Care Network $557 6818%
Graham-White Manufacturing $557 6818%
Occunet Workers Comp $557 6818%
One Health Plan $557 6818%
Phcs $592 7246%
Patients Choice $612 7491%
4Most $626 7662%
American Postal Workers Union $626 7662%
Star Transportation $626 7662%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3700 South Main Street, Blacksburg, VA 24060
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals