CMS Price Transparency Data

Blood test, liver function panel

Facility: Riverside University Health System-Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $10
  • Cash Discount Price: $900
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Riverside University Health System-Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $900. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.22x the Medicare baseline. Located in 26520 Cactus Avenue, Moreno Valley, CA.
Cash / Self-Pay
$900

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: $900 (11016%)
Insurance Median: $10 (122%)
Cash: $900 (11016% 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
Inland Empire Health Plan Mcal Hmo $5 - $900 61%
La Care Health Plan $5 - $900 61%
Medi-Cal $5 - $900 61%
Medical Groups Commercial Contracted $6 - $900 73%
Medicare (plans) $8 - $900 98%
Blue Cross Blue Shield $10 - $900 122%
Inland Empire Health Plan $10 - $900 122%
Molina $10 - $900 122%
Kaiser $675 8262%
California Department Of Corrections $900 11016%
Workers Comp $900 11016%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 26520 Cactus Avenue, Moreno Valley, CA 92555
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals