CMS Price Transparency Data

Blood test, liver function panel

Facility: Crossing Rivers Health Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $247
  • Cash Discount Price: $260
  • vs. Medicare Baseline: 30.23x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Crossing Rivers Health Medical Center is $247. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $260. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 30.23x the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.
Cash / Self-Pay
$260

Average discount available for prompt cash payment at this facility.

Insurance Median
$247

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: $260 (3182%)
Insurance Median: $247 (3023%)
Cash: $260 (3182% of Medicare)
Ins. Median: $247 (3023% 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 3023% of the Medicare baseline (a markup of 2923%). 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
Amerigroup Mcaid-All Other Plans $15 184%
Iowa Total Care Mcaid-All Plans $15 184%
Amerigroup Mcr Adv $109 1334%
Blue Cross Blue Shield $109 - $252 1334%
Security Hlth Mcr Adv $109 1334%
UnitedHealthcare $109 1334%
Humana $110 - $250 1346%
Quartz - All Plans $208 2546%
Dean Health Plan - All Plans $247 3023%
Medica Comm - All Other Plans $247 3023%
Medica Hp Solutions $247 3023%
Security Hlth Comm - All Other Plans $247 3023%
Health Trad Hp - All Plans $250 3060%
Wea Provider Ntwrk - All Plans $250 3060%
Cigna $252 3084%
First Health - All Plans $252 3084%
Geha - All Plans $252 3084%
Group Health Co-Op - All Plans $252 3084%
Health Partners - All Plans $252 3084%
Medical Associates Hp - All Plans $252 3084%
Preferred Health Choice - All Plans $252 3084%
Wps - All Plans $252 3084%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37868 Us Hwy 18, Prairie Du Chien, WI 53821
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals