CMS Price Transparency Data

Blood test, liver function panel

Facility: Alhambra Hospital Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $10
  • Cash Discount Price: $634
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Alhambra Hospital Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $634. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.22x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$634

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: $634 (7760%)
Insurance Median: $10 (122%)
Cash: $634 (7760% 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

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
Ahmc-Reciprocity-Medi-Cal/Healthy Families $6 73%
Citrus Valley Health Partners $6 73%
Kaiser Medi-Cal $6 73%
La Care Pasc Seiu Misc $6 73%
Miscellaneous Medi-Cal Hmo $6 73%
Stewart Mg Senior Hmo $6 73%
Blue Cross Blue Shield $7 - $15 86%
La Care Medi-Cal Hmo $7 86%
Aetna $8 - $14 98%
Alignment Senior Hmo $8 98%
Allied Physicians Of Ca Medi-Cal $8 98%
Altamed Senior Services $8 98%
Apa Aco $8 98%
Blue Shield 65 Plus $8 98%
Brand New Day Sr $8 98%
Central Health Plan Of Ca Senior Hmo $8 98%
Health Net Medi-Cal $8 98%
Health Net Senior Hmo $8 98%
Humana $8 98%
La Care Exchange $8 98%
Medi-Cal $8 98%
Medicare (plans) $8 - $380 98%
Miscellaneous Senior Hmo $8 98%
UnitedHealthcare $8 - $16 98%
Wellcare Senior Hmo $8 98%
Cigna $9 - $285 110%
Tricare $9 110%
Health Net Exchange $10 122%
Health Net Salud Con Hmo $10 122%
Miscellaneous Work Comp Hmo $10 122%
Molina Exchange $10 122%
Ahmc Health $12 147%
Allied Physicians Of Ca Commercial $12 147%
Health Net Ppo/Epo/Pos $17 208%
Blue Shield Value Network Exchange $102 1248%
Blue Shield Hmo/Ppo $114 1395%
Ahmc-Reciprocity-Comm/Senior $190 2326%
Allied Physicians Comm/Sr $222 2717%
Allied Physicians Medi-Cal $222 2717%
Wellcare Allied Senior Hmo $222 2717%
Molina Health Plan $247 3023%
Self Pay $254 3109%
Health Net Exchange Enhanced Ppo $269 3293%
Kaiser Commercial $393 4810%
Scan Senior Plan $412 5043%
Multiplan $507 6206%
Miscellaneous Commercial Ppo/Hmo $634 7760%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals