CMS Price Transparency Data

Blood test, liver function panel

Facility: Beloit Health System

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $143
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 17.50x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Beloit Health System is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 17.50x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$143

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: $84 (1028%)
Insurance Median: $143 (1750%)
Cash: $84 (1028% of Medicare)
Ins. Median: $143 (1750% 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 1750% of the Medicare baseline (a markup of 1650%). 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 - $278 98%
Blue Cross Blue Shield $8 - $155 98%
Cook Children'S Health Plan (Cchp) $8 - $146 98%
Dean Health $8 - $164 98%
Humana $8 - $32 98%
Independent Care Health Plan $8 98%
Managed Health Services $8 98%
Molina Healthcare $8 98%
Quartz $8 - $190 98%
UnitedHealthcare $8 - $219 98%
Wellcare $8 98%
Naphcare $13 159%
The Alliance $34 416%
Wps $37 - $216 453%
Wea Trust $161 1971%
Multiplan $234 2864%
Health Eos $260 - $266 3182%
Cigna $269 - $278 3293%
Hfn $269 - $278 3293%
Preferred Network Access $269 - $278 3293%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1969 W Hart Rd, Beloit, WI 53511
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals