Blood test, liver function panel
Facility: Adventist Health Hanford
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $23
- Cash Discount Price: $54
- vs. Medicare Baseline: 2.82x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 282% of the Medicare baseline (a markup of 182%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Key Medical Group Commercial - All Other Plans | $1 - $31 | 12% |
| Bc Mcal | $3 | 37% |
| Aetna | $5 - $140 | 61% |
| UnitedHealthcare | $5 - $162 | 61% |
| Blue Shield Epn | $6 - $181 | 73% |
| Kaiser - All Other Plans | $6 - $192 | 73% |
| Western Growers/Pinnacle- All Plans | $6 - $177 | 73% |
| Blue Shield Non-Epn - All Other Plans | $7 - $198 | 86% |
| Healthnet - All Other Plans | $7 - $206 | 86% |
| Blue Shield Mcr Adv | $8 | 98% |
| Cigna | $8 - $229 | 98% |
| Fhcn Pace Mcr Adv-All Plans | $8 | 98% |
| Healthnet Mcr Adv | $8 | 98% |
| Kaiser Mcr Adv | $8 | 98% |
| Key Medical Mcr Adv | $8 | 98% |
| Phcs Ppo- All Plans | $8 - $250 | 98% |
| Prime Health Mcr Adv- All Plans | $8 | 98% |
| Tricare | $8 | 98% |
| Community Hlth Ntwork-All Plans | $9 - $258 | 110% |
| Kaiser Mcal | $9 | 110% |
| Medi-Cal | $9 | 110% |
| Choicecare- All Plans | $10 - $316 | 122% |
| First Health - All Plans | $10 - $300 | 122% |
| Beech Street- All Plans | $11 - $327 | 135% |
| Interplan- All Plans | $11 - $323 | 135% |
| Multiplan- All Plans | $11 - $320 | 135% |
| Healthnet Mcal | $12 | 147% |
| Pacific Health Alliance- All Plans | $12 - $373 | 147% |
| Preferred Health Network- All Plans | $12 - $366 | 147% |
| Bright Health Mcr Adv-All Plans | $13 | 159% |
| Fresno - All Plans | $13 - $15 | 159% |
| Valley Childrens - All Plans | $13 - $15 | 159% |
| Ah Employee Health Plan - All Plans | $15 | 184% |
| Blue Cross Blue Shield | $83 - $100 | 1016% |