CMS Price Transparency Data

Blood test, liver function panel

Facility: Dickenson Community Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $18
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 2.20x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Dickenson Community Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 2.20x the Medicare baseline. Located in 312 Hospital Drive, Clintwood, VA.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $14 (171%)
Insurance Median: $18 (220%)
Cash: $14 (171% of Medicare)
Ins. Median: $18 (220% 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 220% of the Medicare baseline (a markup of 120%). 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
Blue Cross Blue Shield $8 - $23 98%
UnitedHealthcare $8 - $18 98%
Aetna $14 - $47 171%
Molina Healthcare $14 - $18 171%
Optima Health $14 171%
Amerigroup $18 220%
Cigna $18 - $32 220%
Humana $18 220%
Managed Medicaire $18 220%
Medicare (plans) $18 220%
Sentara Health $18 - $22 220%
United Mine Workers Of America $18 220%
Devoted Health Plan $19 233%
Nhc Advantage $19 233%
Medcost $21 257%
Ambetter / Centene $22 269%
Seven Corners, Inc. $59 722%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 312 Hospital Drive, Clintwood, VA 24228
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals