CMS Price Transparency Data
Blood test, liver function panel
Facility: Watsonville Community Hospital
Billing Code: 80076 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80076
- Insurance Median: $711
- Cash Discount Price: $772
- vs. Medicare Baseline: 87.03x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Watsonville Community Hospital is $711. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $772. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 87.03x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$772
Average discount available for prompt cash payment at this facility.
Insurance Median
$711
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: $772 (9449%)
Insurance Median: $711 (8703%)
Cash: $772 (9449% of Medicare)
Ins. Median: $711 (8703% 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 8703% of the Medicare baseline (a markup of 8603%). 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 |
|---|---|---|
| Ace-Usa | $8 | 98% |
| Alignment Health Plan | $8 | 98% |
| Beta Healthcare Group | $8 | 98% |
| Blue Shield Ppo | $8 - $26 | 98% |
| Crawford & Co | $8 | 98% |
| Fireman'S Fund Work Comp | $8 | 98% |
| Fleming & Associates | $8 | 98% |
| Gallagher Bassett Svcs | $8 | 98% |
| Hartford Workers' Comp | $8 | 98% |
| Health Net Of California | $8 - $807 | 98% |
| Keenan & Assoc Work Comp | $8 | 98% |
| Kemper Group Workers Comp | $8 | 98% |
| Liberty Mutual Work Comp | $8 | 98% |
| Medicare (plans) | $8 | 98% |
| Miscellaneous Work Comp | $8 | 98% |
| Nx Health Network | $8 | 98% |
| Pinnacle Healthcare Uc | $8 | 98% |
| Republic Idemnity W/Comp | $8 | 98% |
| Secure Horizons | $8 | 98% |
| Secure Horizons Dign Hmo | $8 - $257 | 98% |
| Travelers Insurance | $8 - $1,287 | 98% |
| Tricare | $8 | 98% |
| U.S. Dept. Of Labor | $8 | 98% |
| UnitedHealthcare | $8 - $772 | 98% |
| Veterans Administration | $8 | 98% |
| Western Growers Work Comp | $8 | 98% |
| Workers Comp | $8 | 98% |
| California Childrens Srvs | $9 | 110% |
| Ccs/Monterey County | $9 | 110% |
| Healthy Families | $9 - $26 | 110% |
| Medi-Cal E.R. | $9 | 110% |
| Medi-Cal/Eds | $9 | 110% |
| Medicaid / KanCare | $9 | 110% |
| Well Path | $9 - $1,287 | 110% |
| Alliance/Sccho | $10 | 122% |
| Aetna | $15 - $1,055 | 184% |
| Blue Cross Blue Shield | $15 - $1,146 | 184% |
| Blue Shield Hmo | $15 - $257 | 184% |
| Cigna | $15 - $901 | 184% |
| Great-West/Phcs | $15 - $901 | 184% |
| Health Net Pmg Hmo | $15 - $807 | 184% |
| Pacificare Hmo | $15 - $772 | 184% |
| Bs Employee | $26 | 318% |
| Ufcw/Valley Clerks | $26 | 318% |
| United Agriculture | $26 | 318% |
| Calif Ironworkers Field | $55 - $1,146 | 673% |
| Carpenters H&W Trust | $55 - $1,146 | 673% |
| City Of Wats/Pinnacle Clm | $55 - $1,146 | 673% |
| Claims Management Wc | $55 - $1,146 | 673% |
| Delta Health Systems | $55 - $1,146 | 673% |
| Laborers Health & Welfare | $55 - $1,146 | 673% |
| Monterey Bay Pub Emp Trst | $55 - $1,146 | 673% |
| Operating Engineers | $55 - $1,146 | 673% |
| Pinnacle Claims Tpa/Bc | $55 - $1,146 | 673% |
| Robert Kennedy/Ccn | $55 - $1,146 | 673% |
| Sheet Metal Workers | $55 - $1,146 | 673% |
| State Compensation Fund | $55 - $1,146 | 673% |
| Teamsters Benefit Trust | $55 - $1,146 | 673% |
| Western Growers Trust/Bc | $55 - $1,146 | 673% |
| Medicruz | $232 | 2840% |
| Victim Compensation Plan | $232 - $1,287 | 2840% |
| Western Health Advantage | $643 | 7870% |
| Health Net Smartcare Netw | $772 | 9449% |
| Pacificare Ppo | $772 | 9449% |
| Self Pay | $772 | 9449% |
| Health Net Blue And Gold | $807 | 9878% |
| Health Net Canopycare Hmo | $807 | 9878% |
| Adventist Risk Management | $901 - $1,029 | 11028% |
| First Health | $901 - $1,029 | 11028% |
| Geha (Ccn) | $901 - $1,029 | 11028% |
| Transwestern | $901 - $1,029 | 11028% |
| Multiplan Inc Ppo | $1,004 | 12289% |
| Private Healthcare System | $1,004 | 12289% |
| Coastal Healthcare Admin | $1,094 - $1,158 | 13390% |
| Salinas Valley Mem Hops | $1,094 | 13390% |
| Aaa | $1,287 | 15753% |
| Aarp | $1,287 | 15753% |
| Allstate | $1,287 | 15753% |
| Apwu Health Plan | $1,287 | 15753% |
| Bankers Life & Casualty | $1,287 | 15753% |
| Farmers Insurance | $1,287 | 15753% |
| Humana | $1,287 | 15753% |
| Miscellaneous Auto | $1,287 | 15753% |
| Miscellaneous Insurance | $1,287 | 15753% |
| North Calif Bakery Driver | $1,287 | 15753% |
| Physicians Mutual | $1,287 | 15753% |
| Prucare Pmg Hmo | $1,287 | 15753% |
| Prucare Pmg Pos | $1,287 | 15753% |
| State Farm Ins | $1,287 | 15753% |
| Sutter Health Plus | $1,287 | 15753% |
| United Administrative | $1,287 | 15753% |
| Wholesale Beer Distributo | $1,287 | 15753% |
| Zenith National Ins | $1,287 | 15753% |