CMS Price Transparency Data

Blood test, liver function panel

Facility: Riverside Community Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $1,689
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Riverside Community Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,689. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.
Cash / Self-Pay
$1,689

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $1,689 (20673%)
Insurance Median: $9 (110%)
Cash: $1,689 (20673% of Medicare)
Ins. Median: $9 (110% 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
Bristol Hospice $7 86%
Aetna $8 - $304 98%
Alignment Health Plan $8 98%
Blue Cross Blue Shield $8 - $42 98%
Blue Shield $8 - $90 98%
Brand New Day $8 - $9 98%
Care1St Health Plan $8 98%
Central Health Plan $8 98%
Clever Care Of Golden State $8 98%
Easy Choice Health Plan $8 98%
Heritage Provider Network $8 - $11 98%
Humana $8 98%
La Care Health $8 98%
Molina $8 98%
Redlands Community Hospital $8 98%
Riverside Medical Clinic $8 - $10 98%
Riverside Physician $8 98%
Scan Health Plan $8 98%
Triwest Healthcare Alliance $8 98%
United $8 - $444 98%
UnitedHealthcare $8 98%
Health Net $9 - $377 110%
Corvel Corporation $10 122%
Healthsmart $10 - $1,351 122%
Next $10 - $1,351 122%
Inland Empire Health Plan $12 - $14 147%
Bright Health $20 245%
Cigna $23 282%
Medcare Partners $253 3097%
First Health $743 - $1,520 9094%
American Health System $760 9302%
Multiplan $1,351 - $1,436 16536%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4445 Magnolia Avenue, Riverside, CA 92501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals