CMS Price Transparency Data

Blood test, liver function panel

Facility: Lompoc Valley Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $71
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 8.69x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Lompoc Valley Medical Center is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 8.69x the Medicare baseline. Located in 1515 E Ocean Avenue, Lompoc, CA.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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: $60 (734%)
Insurance Median: $71 (869%)
Cash: $60 (734% of Medicare)
Ins. Median: $71 (869% 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 869% of the Medicare baseline (a markup of 769%). 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
Aetna $8 - $86 98%
Blue Cross Blue Shield $8 - $41 98%
Blue_Shield $8 98%
Coventry $8 - $86 98%
Health_Net $8 98%
Humana $8 98%
Medicare (plans) $8 98%
Sansum $8 98%
UnitedHealthcare $8 - $84 98%
Work_Comp $10 122%
Blue_Shield_National $13 159%
Magellan $71 - $72 869%
Cigna $99 - $101 1212%
Medi_Cal $118 - $120 1444%
Tricare $118 - $120 1444%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 E Ocean Avenue, Lompoc, CA 93436
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals