CMS Price Transparency Data

Blood test, liver function panel

Facility: Carilion Tazewell Community Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $309
Cash Discount Price: $172
vs. Medicare Baseline: 37.82x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Carilion Tazewell Community Hospital is $309. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $172. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 37.82x the Medicare baseline. Located in 388 Ben Bolt Avenue, Tazewell, VA.

Cash / Self-Pay

$172

Average discount available for prompt cash payment at this facility.

Insurance Median

$309

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: $172 (2105%)

Insurance Median: $309 (3782%)

Cash: $172 (2105% of Medicare)

Ins. Median: $309 (3782% 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 3782% of the Medicare baseline (a markup of 3682%). 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
Corvel	$8	98%
Abh Of Va (Formerly Coventry)	$9	110%
Abh Of Wva (Formerly Coventry)	$9	110%
Blue Cross Blue Shield	$9	110%
Humana	$9	110%
Sentara Health Plan	$9 - $305	110%
UnitedHealthcare	$9 - $402	110%
Aetna	$250 - $327	3060%
Gateway - Tier 3	$271	3317%
Vhn - Ultra	$305	3733%
Cigna	$312 - $333	3819%
Connecticare	$344	4211%
Vhn - Plus	$379	4639%
Gateway - Tier 2	$394	4823%
Vhn	$394	4823%
Integrated Health Plan	$418	5116%
Vhn - Link	$443	5422%
Gateway - Tier 1	$467	5716%
Vhn - Secondary Payors	$467	5716%
National Provider Network	$472	5777%

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 $172.
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 Carilion Tazewell Community Hospital 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.