CMS Price Transparency Data

Blood test, liver function panel

Facility: Paradise Valley Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Paradise Valley Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 2400 East 4Th St, National City, CA.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $8 (98%)
Insurance Median: $8 (98%)
Cash: $8 (98% of Medicare)
Ins. Median: $8 (98% 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 $7 - $10 86%
Blue Sheid Of Promise $7 86%
County Of San Diego $7 86%
Golden Physicians Medical Group $7 - $10 86%
Health Excel Ins $7 - $8 86%
Heritage Provider Netwrok $7 - $11 86%
Molina $7 - $8 86%
Traditional Medi-Cal $7 86%
UnitedHealthcare $7 - $14 86%
Blue Shield Of Ca, Va $8 98%
Brand New Day $8 - $12 98%
Ca Dept Of Correction & Rehab $8 - $11 98%
Ca Foundation For Medical Care $8 98%
Central Health $8 98%
Choice Physicians Network $8 98%
Clever Care Of Golden State, Inc $8 98%
Community Health Group $8 - $9 98%
Employer Direct Healthcare $8 - $11 98%
Health Net Federal Service (Cdcr) $8 - $10 98%
Health Net Of Ca $8 - $12 98%
Imperial Health Plan Of Ca $8 - $9 98%
Integrated Medical Solutions $8 - $11 98%
Managed Health Network $8 98%
Medicare (plans) $8 98%
Naphcare $8 - $16 98%
Renal Payer Solutions $8 98%
Scripps Health $8 - $14 98%
Tricare $8 98%
Usa Senior Care Network $8 98%
Verda Health Plan $8 98%
Veterans Evaluation Services $8 - $10 98%
Worker Comp $8 - $11 98%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals