CMS Price Transparency Data

Blood test, liver function panel

Facility: AHMC Seton Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $10
  • Cash Discount Price: $254
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at AHMC Seton Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $254. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.22x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$254

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: $254 (3109%)
Insurance Median: $10 (122%)
Cash: $254 (3109% 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
Medi-Cal $6 73%
Veterans Administration (Va) $6 73%
Aetna $8 - $25 98%
Apcmg $8 - $12 98%
Asian American Medical Group $8 - $10 98%
Blue Cross Blue Shield $8 - $242 98%
Blue Shield Of California $8 - $104 98%
Brand New Day $8 - $10 98%
Brown And Toland Medical Group $8 - $10 98%
Canopy Health $8 - $15 98%
Care Advantage $8 98%
Chinese Community Health Plan $8 - $159 98%
Cmac $8 98%
Covid-19 Uninsured Program $8 98%
Easy Choice Hospital Services $8 98%
For Your Benefit $8 98%
Healthnet Seniority $8 98%
Hill Physicians Medical Group Inc $8 - $9 98%
Humana $8 98%
Imperial Health Plan $8 98%
Jade Health Care Mg $8 - $159 98%
Kaiser $8 - $261 98%
Medicare (plans) $8 98%
North East Medical Services $8 - $9 98%
Pacificare $8 98%
San Mateo County/San Mateo County General Hospital $8 98%
UnitedHealthcare $8 - $16 98%
Central Health Plan $9 110%
San Francisco Health Plan $9 110%
Ahmc Health $10 122%
Athens Administrators $10 122%
Corvel Healthcare $10 122%
Health Plan Of San Mateo Healthworx $10 122%
Knox-Keene Act $10 122%
Multiplan/Bce Emergis $10 - $238 122%
Tricare $10 122%
Work Comp Other $10 122%
Health Plan Of San Mateo $11 135%
Cigna $43 526%
Self Pay $48 - $108 588%
Interplan Corporation $191 2338%
Healthcare Foundation Of San Mateo $223 - $238 2729%
Private Healthcare Sytems Inc $238 2913%
The First Health Network $238 2913%
Health Net $244 2987%
Beech Street Corporation $254 3109%
Choicecare Network $270 3305%
Multiplan $270 3305%
Mills Peninsula Health Services $286 3501%
Indemnity $318 3892%
Workers Compensation Federal $318 3892%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals