CMS Price Transparency Data

Blood test, liver function panel

Facility: Lewisgale Hospital Alleghany

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $51
  • Cash Discount Price: $814
  • vs. Medicare Baseline: 6.24x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Lewisgale Hospital Alleghany is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $814. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 6.24x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.
Cash / Self-Pay
$814

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: $814 (9963%)
Insurance Median: $51 (624%)
Cash: $814 (9963% 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
Triatlantic $7 86%
Devoted $8 98%
Good Samaritan Hospice $8 98%
United Mine Workers $8 98%
Sentara Health $8 98%
United Behavioral Health $8 98%
United $8 - $366 98%
Humana $8 98%
Aetna $8 - $440 98%
Health Net $8 98%
Cigna $8 98%
Blue Cross Blue Shield $8 - $51 98%
Virginia Premier Health $8 98%
Clear Spring Health Plan $9 110%
Align Senior Care $9 110%
Greenbrier Sporting Club $12 147%
Lifeworks $155 1897%
Universal Healthcare Group $179 2191%
Virginia Health Network $285 - $578 3488%
Greenvbrier Sporting Club $488 5973%
Corvel $586 7173%
Csx Hotels $651 7968%
Occunet Workers Comp $651 7968%
Health Payors Organization $692 8470%
Alleghany Highland Community $733 8972%
American Postal Workers Union $733 8972%
C&O Employees Hospital Assn $733 8972%
Multiplan $733 8972%
One Health Plan $733 8972%
Community Care Network $733 8972%
4Most $733 8972%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Arh Lane - Po Box 7, Low Moor, VA 24457
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals