CMS Price Transparency Data

Blood test, liver function panel

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $125
  • Cash Discount Price: $195
  • vs. Medicare Baseline: 15.30x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Sharp Coronado Hospital and Hlthcr Ctr is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $195. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 15.30x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.
Cash / Self-Pay
$195

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $195 (2387%)
Insurance Median: $125 (1530%)
Cash: $195 (2387% of Medicare)
Ins. Median: $125 (1530% 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 1530% of the Medicare baseline (a markup of 1430%). 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
Health Net $1 - $182 12%
Indian Health Council $46 563%
Blue Cross Blue Shield $77 - $182 942%
Blue Shield $77 - $234 942%
Humana $77 - $182 942%
Managed Health Network $77 942%
Molina $77 942%
Multiplan $77 - $172 942%
Cigna $78 955%
Aetna $88 - $200 1077%
San Diego Pace $88 1077%
UnitedHealthcare $88 - $195 1077%
Epic Americas $103 1261%
Kaiser $125 1530%
County Medical Services $130 - $164 1591%
Medi-Cal $182 2228%
Community Health Group $208 2546%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 250 Prospect Place, Coronado, CA 92118
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals