CMS Price Transparency Data

Blood test, liver function panel

Facility: Astria Toppenish Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $14
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Astria Toppenish Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.71x the Medicare baseline. Located in 502 W Fourth Ave, Toppenish, WA.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $77 (942%)
Insurance Median: $14 (171%)
Cash: $77 (942% of Medicare)
Ins. Median: $14 (171% 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.

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
Medicaid / KanCare $6 - $18 73%
Ambetter / Centene $7 86%
UnitedHealthcare $7 - $98 86%
Va $7 86%
Aetna $8 - $105 98%
Cigna $8 98%
Humana $8 - $119 98%
Li $8 98%
Medicare (plans) $8 - $98 98%
Molina $8 98%
Tricare $8 98%
Zenith $8 98%
Molina_Exchange $10 122%
Kaiser $31 379%
Regence $40 490%
Premera $45 551%
Premera_Affordable_Care $45 551%
Chpw_Cascade_Care $75 918%
First_Choice $82 1004%
Tpsc $93 1138%
Bcchp $119 1457%
Great_Rivers $119 1457%
Healthcomp $119 1457%
Washington_State_Hca $119 1457%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Fourth Ave, Toppenish, WA 98948
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals