CMS Price Transparency Data

Blood test, liver function panel

Facility: Washington Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $166
  • Cash Discount Price: $345
  • vs. Medicare Baseline: 20.32x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Washington Hospital is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $345. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 20.32x the Medicare baseline. Located in 2000 Mowry Ave, Fremont, CA.
Cash / Self-Pay
$345

Average discount available for prompt cash payment at this facility.

Insurance Median
$166

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: $345 (4223%)
Insurance Median: $166 (2032%)
Cash: $345 (4223% of Medicare)
Ins. Median: $166 (2032% 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 2032% of the Medicare baseline (a markup of 1932%). 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 - $606 98%
Alameda Alliance Mcr Adv $8 98%
Blue Cross Blue Shield $8 - $628 98%
Blue Shield Mcr Adv $8 98%
Brand New Day Mcr Adv - All Plans $8 98%
Canopy Mcr Adv $8 98%
Central Hlth Mcr Adv - All Plans $8 98%
Health Net Sr Plus Hmo $8 98%
Humana $8 - $783 98%
Kaiser Mcr Adv $8 98%
On Lok Senior Health Services-All Plans $8 98%
Tricare $8 98%
UnitedHealthcare $8 - $752 98%
Va (Triwest Ccn)-All Plans $8 98%
Kaiser Medi-Cal $9 110%
Medi-Cal $9 110%
Health Net/Healthy Family/Aim $38 - $174 465%
Alameda Alliance Ppo-All Other Plans $57 - $261 698%
Canopy-All Other Plans $97 - $444 1187%
Blue Shield Eppo $100 - $458 1224%
Kaiser - All Other Plans $103 - $470 1261%
Healthnet Comm - All Other Plans $115 - $524 1408%
Cigna $118 - $696 1444%
Blue Shield Hmo $128 - $585 1567%
Pacific Health Alliance Epo $133 - $609 1628%
Standford Health Services-All Plans $133 - $609 1628%
County Of Santa Clara-All Plans $143 - $652 1750%
Blue Shield Ppo - All Other Plans $149 - $678 1824%
Pacific Foundation Epo $153 - $696 1873%
Corvel-All Plans $162 - $739 1983%
Interplan B-2 Ppo $162 - $739 1983%
Masonic Homes Ppo-All Plans $162 - $739 1983%
Multiplan Ppo-All Plans $162 - $739 1983%
Pacific Health Alliance Ppo-All Other Plans $162 - $739 1983%
Preferred Health Network-All Plans $162 - $737 1983%
Interplan B-4 Ppo-All Other Plans $168 - $765 2056%
Cna (Mailhandlers)-All Plans $172 - $783 2105%
First Health -All Plans $172 - $783 2105%
Pacific Foundation Ppo-All Other Plans $172 - $783 2105%
Phcs/Private Healthcare Systems-All Plans $172 - $783 2105%
Three Rivers Provider Network-All Plans $172 - $783 2105%
Beech Street-All Plans $181 - $826 2215%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Mowry Ave, Fremont, CA 94538
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals