CMS Price Transparency Data

Blood test, liver function panel

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $120
  • Cash Discount Price: $124
  • vs. Medicare Baseline: 14.69x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at University of Wi Hospitals & Clinics Authority is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 14.69x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$124

Average discount available for prompt cash payment at this facility.

Insurance Median
$120

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: $124 (1518%)
Insurance Median: $120 (1469%)
Cash: $124 (1518% of Medicare)
Ins. Median: $120 (1469% 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 1469% of the Medicare baseline (a markup of 1369%). 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
Aetna $8 - $165 98%
Blue Cross Blue Shield $8 - $196 98%
Humana $8 98%
Medicare (plans) $8 98%
UnitedHealthcare $8 - $129 98%
Alliance_Premier_Network $98 1200%
Mercycare $102 1248%
Triology $105 - $126 1285%
Security_Health_Plan $111 - $131 1359%
Employer'S_Coalition_On_Health $113 - $159 1383%
Alliance $116 1420%
Hfn $117 - $159 1432%
United_Healthcare $118 - $175 1444%
Beloit_Health_System $119 1457%
Aspirus_Health_Plan $120 1469%
Cigna $124 1518%
Health_Partners_Insurance $126 1542%
Health_Payment_Systems $126 1542%
Dean_Health_Plan $132 1616%
Medical_Associates $136 1665%
Wps $143 - $157 1750%
Employers_Healthcare_Coalition_Of_Wi $144 1763%
Aspirus_Network_Inc $159 1946%
Chorus_Community $165 2020%
Ghc_Eau_Claire_Health_Plan $165 2020%
Multiplan $165 - $190 2020%
Sheybogan_Employers_Health_Network $165 2020%
Coventry $175 2142%
Dean_Care $175 2142%
Healthsmart $181 2215%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals