CMS Price Transparency Data

Blood test, liver function panel

Facility: Loma Linda University Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $20
Cash Discount Price: $105
vs. Medicare Baseline: 2.45x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Loma Linda University Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 2.45x the Medicare baseline. Located in 11234 Anderson St, Loma Linda, CA.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$20

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: $105 (1285%)

Insurance Median: $20 (245%)

Cash: $105 (1285% of Medicare)

Ins. Median: $20 (245% 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 245% of the Medicare baseline (a markup of 145%). 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
UnitedHealthcare	$7 - $8	86%
Adventist Health	$8 - $81	98%
Alpha Care Medical Group	$8 - $12	98%
Dignity Health	$8 - $12	98%
Epic Health Plan	$8 - $161	98%
Inland Empire Health Plan (Iehp)	$8 - $11	98%
Kaiser Foundation Hospitals	$8 - $269	98%
Upland Medical Group	$8	98%
Vantage Medical Group	$8 - $12	98%
Prime Health Services	$9 - $343	110%
Riverside University Health System	$9	110%
Molina Healthcare Of Ca	$11	135%
Blue Cross Blue Shield	$12 - $59	147%
Heritage Provider Network	$13	159%
Lluh Dept Of Risk Management	$13 - $81	159%
Blue Shield Of California	$26 - $39	318%
Aetna	$39	477%
Global Benefits Group	$39 - $242	477%
Temecula Valley Physicians Medical Group	$39	477%
Trivalley Medical Group	$39	477%
Cigna	$41 - $48	502%
Networks By Design	$42 - $262	514%
Multiplan	$49 - $302	600%
Central Health Plan	$52 - $322	636%
Galaxy Health	$55 - $343	673%
Health Management Network	$58 - $363	710%

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 $105.
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 Loma Linda University Medical Center 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.