CMS Price Transparency Data

Blood test, liver function panel

Facility: Oro Valley Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $12
  • Cash Discount Price: $177
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Oro Valley Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $177. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.47x the Medicare baseline. Located in 1551 East Tangerine Road, Oro Valley, AZ.
Cash / Self-Pay
$177

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $177 (2166%)
Insurance Median: $12 (147%)
Cash: $177 (2166% of Medicare)
Ins. Median: $12 (147% 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
Aetna $8 - $102 98%
Blue Cross Blue Shield $8 - $82 98%
Caremore Health Plan $8 98%
Cigna $8 - $13 98%
Clover Health Mcr Adv $8 98%
Department Of Veterans Affairs $8 98%
Fresenius Health $8 98%
Humana $8 98%
Magellan $8 - $322 98%
Medicaid / KanCare $8 - $9 98%
Medicare (plans) $8 98%
Node Banner Mcr Adv $8 98%
Node Devoted Health Mcr Adv $8 98%
Node Non Par Hospice Agree $8 98%
Node Triwest $8 98%
Node Va $8 98%
Pascua Yaqui Tribe $8 98%
Scan Health $8 98%
Tricare $8 98%
UnitedHealthcare $8 - $10 98%
Veterans Eval Services $8 98%
Wellcare Mcr Adv $8 98%
Node Us Dept Of Labor $10 122%
Ambetter / Centene $12 147%
Node Health Choice Exchange $12 147%
Node Fusion Network $15 184%
Node J Allen Inmate Health Svcs $16 196%
Health Net $17 208%
Seven Corners $19 233%
Self Pay $129 - $225 1579%
Beacon Health Options $268 3280%
Mtc $268 3280%
First Health Coventry $281 3439%
Coventry Work Comp Al $322 3941%
Multiplan $445 5447%
Prime Health $456 5581%
Three Rivers $456 5581%
Healthsmart $482 5900%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1551 East Tangerine Road, Oro Valley, AZ 85755
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals