CMS Price Transparency Data

Blood test, liver function panel

Facility: Good Samaritan Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $11
  • Cash Discount Price: $2,030
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Good Samaritan Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,030. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.35x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.
Cash / Self-Pay
$2,030

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: $2,030 (24847%)
Insurance Median: $11 (135%)
Cash: $2,030 (24847% 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
Aetna $8 - $42 98%
Affinity Medical Group $8 98%
Alignment Health Plan $8 98%
Blue Cross Blue Shield $8 - $43 98%
Blue Shield $8 - $15 98%
Care1St Health Plan $8 98%
Central Health Plan $8 98%
Clever Care Of Golden State $8 98%
Easy Choice Health Plan $8 98%
Humana $8 - $1,421 98%
Managed Health Network $8 98%
On Lok Senior Health $8 98%
Palo Alto Medical $8 - $11 98%
Physicians Medical Group $8 98%
Santa Clara Family Health Plan $8 - $386 98%
Scan Health Plan $8 98%
Triwest Healthcare Alliance $8 98%
United $8 - $518 98%
University Healthcare $8 98%
Vitality Health Plan $8 98%
Corvel Corporation $10 122%
Health Net $10 - $473 122%
Affinity Medical Group Comm $11 135%
Canopy $15 184%
Bright Health $16 196%
Cigna $85 - $1,624 1040%
Medcare Partners $305 3733%
Nx Health Network $1,218 14908%
Sutter Select $1,218 14908%
Multiplan $1,320 - $1,624 16157%
First Health $1,543 - $2,030 18886%
Healthsmart $1,624 19878%
Intercontinental Corporation $1,624 19878%
Pha Pacific Health Alliance $1,624 19878%
Ppo Next $1,624 19878%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2425 Samaritan Drive, San Jose, CA 95124
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals