CMS Price Transparency Data

Blood test, liver function panel

Facility: El Centro Regional Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $136
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at El Centro Regional Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.
Cash / Self-Pay
$136

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: $136 (1665%)
Insurance Median: $8 (98%)
Cash: $136 (1665% 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 $3 - $168 37%
UnitedHealthcare $3 - $191 37%
Mulitplan Primary - All Other Plans $4 - $259 49%
Pacificare-All Plans $4 - $236 49%
Cigna $5 - $286 61%
Multiplan Comp $5 - $305 61%
Trident - All Plans $5 - $324 61%
Ahccs/Medi-Cal Misc - All Plans $6 - $381 73%
Blue Cross Blue Shield $6 - $381 73%
Brand New Day Mcal $6 - $381 73%
Healthnet Comm-All Other Plans $6 - $343 73%
Humana $6 - $354 73%
Medi-Cal $6 - $381 73%
Molina Exchange - All Other Plans $6 - $381 73%
Ambetter / Centene $7 - $392 86%
Molina Mcal $7 - $419 86%
Brand New Day Comm - All Other Plans $8 98%
Brand New Day Mcr $8 98%
Healthnet Mcr Adv $8 98%
Molina Mcr Adv $8 98%
Scp Managed Care - All Plans $8 98%
Tricare $8 98%
Easy Choice Mcr Adv-All Plans $9 110%
Healthnet Hmo $10 122%
Cdcr Correctional-All Plans $11 135%
Blue Shield-All Plans $51 624%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1415 Ross Avenue, El Centro, CA 92243
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals