CMS Price Transparency Data
Blood test, liver function panel
Facility: San Gabriel Valley Medical Center
Billing Code: 80076 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80076
- Insurance Median: $10
- Cash Discount Price: $389
- vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at San Gabriel Valley Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $389. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.22x the Medicare baseline. Located in 438 W Las Tunas Drive, San Gabriel, CA.
Cash / Self-Pay
$389
Average discount available for prompt cash payment at this facility.
Insurance Median
$10
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: $389 (4761%)
Insurance Median: $10 (122%)
Cash: $389 (4761% of Medicare)
Ins. Median: $10 (122% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Ahmc Medi-Cal Reciprocity | $6 | 73% |
| Allied Physicians | $6 - $12 | 73% |
| Altamed Health Network | $6 - $8 | 73% |
| Beverly Hospital | $6 - $9 | 73% |
| Brand New Day | $6 - $454 | 73% |
| Emanate Health | $6 - $10 | 73% |
| Healthnet Medi-Cal Non-Contract | $6 | 73% |
| Healthy Way La | $6 | 73% |
| Non Contracting Medi Cal | $6 | 73% |
| Veterans Administration | $6 | 73% |
| Blue Cross Blue Shield | $7 - $39 | 86% |
| La Care Health Plan | $7 - $8 | 86% |
| Aetna | $8 - $14 | 98% |
| Aids Healthcare Foundation | $8 - $518 | 98% |
| Alignment Health Plan | $8 | 98% |
| Apa/Aco Inc | $8 | 98% |
| Avanti | $8 - $10 | 98% |
| Blue Shield Of California | $8 - $115 | 98% |
| Central Health Plan | $8 - $778 | 98% |
| Cv-19 Hrsa Uninsured Testing And Tx | $8 | 98% |
| Health Net | $8 - $753 | 98% |
| Health Net Inc | $8 - $19 | 98% |
| Hollywood Presbyterian Adv Med Mcal | $8 | 98% |
| Hollywood Presbyterian Medpoint Mcal | $8 | 98% |
| Humana | $8 | 98% |
| Inter Valley Health Plan | $8 | 98% |
| Medicaid / KanCare | $8 | 98% |
| Medicare (plans) | $8 | 98% |
| Molina Healthcare Of California | $8 - $505 | 98% |
| Pacific Alliance Medical Center | $8 | 98% |
| Pacificare Of California | $8 - $424 | 98% |
| Physicians Healthways | $8 | 98% |
| Providence Health Network | $8 | 98% |
| Self-Pay | $8 | 98% |
| St Vincent Medical Center/Psych | $8 | 98% |
| Tricare | $8 | 98% |
| Wellcare | $8 | 98% |
| Care 1St Health Plan | $9 - $842 | 110% |
| Cigna | $9 | 110% |
| Ahmc Health Self-Insurance Epo | $10 | 122% |
| Athens Administrators | $10 | 122% |
| Beech Street | $10 - $1,037 | 122% |
| Chinatown Service Center Pace | $10 | 122% |
| Knox-Keene Act | $10 | 122% |
| Other Non Contracting Workers Comp | $10 | 122% |
| UnitedHealthcare | $16 - $33 | 196% |
| Private Pay | $24 | 294% |
| Ahmc Reciprocity | $389 | 4761% |
| Alignment Healthplan | $454 | 5557% |
| Clever Care | $454 | 5557% |
| Pacific Independent Physician Associates | $518 | 6340% |
| Facey Medical | $648 | 7931% |
| Community Care Network | $842 | 10306% |
| Choicecare Network | $907 | 11102% |
| Private Healthcare Systems (Phcs) | $907 | 11102% |
| Affiliated Health Fund | $972 | 11897% |
| Multiplan | $1,166 | 14272% |
| Ppo Next | $1,166 | 14272% |
| Managed Health Network | $1,296 | 15863% |
| Medi-Cal Sub Acute | $1,296 | 15863% |
| One Legacy | $1,296 | 15863% |
| Other Non Contracted Commercial | $1,296 | 15863% |
| Us Behavioral Health Plan | $1,296 | 15863% |