CMS Price Transparency Data

Blood test, liver function panel

Facility: Adventist Health Lodi Memorial

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $11
  • Cash Discount Price: $32
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Adventist Health Lodi Memorial is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.35x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$32

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $32 (392%)
Insurance Median: $11 (135%)
Cash: $32 (392% of Medicare)
Ins. Median: $11 (135% 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
Medcore(Omni Ipa) Op Only- All Plans $2 - $193 24%
Bc Mcal $3 37%
Blue Shield Epn - All Other Plans $3 - $240 37%
Blue Shield Non-Epn $3 - $249 37%
Kaiser Commercial - All Other Plans $3 - $304 37%
UnitedHealthcare $3 - $308 37%
Healthnet- All Other Plans $4 - $364 49%
Networks By Design- All Plans $4 - $370 49%
Beech Street- All Plans $7 - $667 86%
Cigna $7 - $667 86%
First Health- All Plans $7 - $608 86%
Multiplan- All Plans $7 - $593 86%
Three Rivers Provider Network- All Plans $7 - $667 86%
Western Growers- All Plans $7 - $667 86%
Alignment Health Plan (Ahp)-All Plans $8 98%
Blue Shield Mcare Adv $8 98%
Cca Health Plan Mcr Adv- All Plans $8 98%
Celtic Ins Company - All Plans $8 - $10 98%
Healthnet Mcal $8 - $13 98%
Healthnet Mcare $8 98%
Hp Of San Joaquin Mcal $8 - $11 98%
Hp Of San Joaquin Mcr Adv $8 98%
Hp Of San Joaquin Ppo - All Other Plans $8 - $704 98%
Humana $8 98%
Kaiser Mcal $8 - $9 98%
Kaiser Mcr Adv $8 98%
Medi-Cal $8 - $9 98%
Tricare $8 98%
Knnex Health - All Plans $10 122%
Ah Employee Health Plan - All Plans $15 184%
Bright Health - All Plans $16 196%
Aetna $27 330%
Blue Cross Blue Shield $81 - $90 991%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals