CMS Price Transparency Data

Blood test, liver function panel

Facility: Marshfield Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $138
  • Cash Discount Price: $154
  • vs. Medicare Baseline: 16.89x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Marshfield Medical Center is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $154. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 16.89x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.
Cash / Self-Pay
$154

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $154 (1885%)
Insurance Median: $138 (1689%)
Cash: $154 (1885% of Medicare)
Ins. Median: $138 (1689% 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 1689% of the Medicare baseline (a markup of 1589%). 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 - $51 98%
Security Health Plan (Shp) $8 - $56 98%
Veteran'S Administration (Va Ccn) $8 98%
Group Health Cooperative Of Eau Claire $9 - $149 110%
Managed Health Services $9 110%
UnitedHealthcare $29 355%
Family Health Center (Fhc) $81 991%
Amish/Mennonite $89 1089%
Sanford Health Plan $89 1089%
The Alliance $113 - $135 1383%
Besse Forest Products $138 1689%
Molina Healthcare Of Wi $138 1689%
Rice Lake School District $138 1689%
Wps Health Insurance $143 - $156 1750%
Trilogy $146 - $156 1787%
Medica Of Wi $150 - $153 1836%
Cigna $152 1860%
Healtheos By Multiplan Inc. $152 - $154 1860%
Corvel $154 1885%
First Health $154 1885%
Health Partners $154 1885%
Three Rivers Provider Network (Trpn) $154 1885%
Coventry $156 1909%
Health Smart $156 1909%
Rising Medical Work Comp $157 1922%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 St Joseph Ave, Marshfield, WI 54449
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals