CMS Price Transparency Data

Blood test, liver function panel

Facility: Ventura County Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $11
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Ventura County Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.35x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $49 (600%)
Insurance Median: $11 (135%)
Cash: $49 (600% of Medicare)
Ins. Median: $11 (135% 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
Tricare $1 - $15 12%
Vchcp-All Plans $2 - $35 24%
Blue Shield Epn $5 - $71 61%
Aetna $7 - $183 86%
Blue Cross Blue Shield $7 - $169 86%
Healthnet Comm-All Other Plans $7 - $101 86%
Kaiser Comm Pediatric Ip/Op Only $7 - $101 86%
UnitedHealthcare $7 - $100 86%
Alignment Hp - All Plans $8 98%
Blue Shield Mcr Adv $8 98%
Humana $8 98%
Americas Hp Mcr Adv Ip/Op Only $9 110%
Clinicas Mcr Adv $9 110%
Healthnet Mcr Adv $9 110%
Hpn Ip/Op Only Medi-Cal $9 110%
Kaiser Medi-Cal Ip/Op Only $9 110%
Medi-Cal $9 110%
Kaiser Mcal Pediatric Ip/Op Only $10 122%
Multiplan/Claritev-All Plans $10 - $146 122%
Scan-All Plans $10 122%
Three Rivers Ip/Op Only-All Plans $10 - $146 122%
Western Growers-All Plans $10 122%
Clinicas Comm - All Other Plans $11 135%
Clinicas Mcal $11 135%
Imperial-All Plans $11 135%
Ntwrk Provdrs-All Plans $11 135%
Ppo Next Ip/Op Only-All Plans $11 - $165 135%
Americas Hp Comm Ip/Op Only-All Other Plans $12 147%
Americas Hp Mcal Ip/Op Only $12 147%
Gold Coast Medi-Cal-All Plans $12 - $16 147%
Kaiser Mcr Pediatric Ip/Op Only $12 - $183 147%
Medicare (plans) $12 - $183 147%
Cigna $15 184%
Hpn Comm Ip/Op Only-All Other Plans $17 - $260 208%
Blue Shield Comm - All Other Plans $28 343%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Hillmont Avenue, Ventura, CA 93003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals