CMS Price Transparency Data

Blood test, liver function panel

Facility: Adventist Health Ukiah Valley

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $92
Cash Discount Price: $33
vs. Medicare Baseline: 11.26x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Adventist Health Ukiah Valley is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 11.26x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$33

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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: $33 (404%)

Insurance Median: $92 (1126%)

Cash: $33 (404% of Medicare)

Ins. Median: $92 (1126% 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 1126% of the Medicare baseline (a markup of 1026%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Shield Epn-All Other Plans	$5 - $90	61%
Blue Shield Non-Epn	$5 - $91	61%
Healthnet-All Plans	$7 - $136	86%
Western Growers-All Plans	$7 - $123	86%
Blue Shield Mcr Adv	$8	98%
Kaiser Mcr Adv	$8	98%
Mendocino Lcc District-All Plans	$8 - $154	98%
Tricare	$8	98%
UnitedHealthcare	$8 - $198	98%
Kaiser Medi-Cal	$9	110%
Medi-Cal	$9	110%
Cigna	$10 - $185	122%
Foundation For Medical Care-All Plans	$10 - $178	122%
Interplan-All Plans	$10 - $194	122%
Kaiser-All Other Plans	$10 - $190	122%
Networks By Design-All Plans	$10 - $190	122%
Phcs Multiplan-All Plans	$10 - $190	122%
Beech Street-All Plans	$11 - $201	135%
Choice Care-All Plans	$11 - $201	135%
Health Mgmt Network-All Plans	$11 - $201	135%
Three Rivers-All Plans	$11 - $213	135%
Ah Employee Health Plan - All Plans	$15	184%
Aetna	$72	881%
Blue Cross Blue Shield	$83 - $110	1016%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $33.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Ukiah Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.