CMS Price Transparency Data

Blood test, liver function panel

Facility: Community Memorial Hospital - Ventura

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $11
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Community Memorial Hospital - Ventura is $11. 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 1.35x the Medicare baseline. Located in 147 North Brent Street, Ventura, CA.
Cash / Self-Pay
$33

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: $33 (404%)
Insurance Median: $11 (135%)
Cash: $33 (404% 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
Seaview $7 86%
Alignment Health Plan $8 98%
Blue Cross Blue Shield $8 - $11 98%
California Workers Compensation $8 98%
Humana $8 98%
Medicare (plans) $8 98%
Non Contracted $8 98%
Scan Health Plan $8 98%
UnitedHealthcare $8 - $14 98%
Wellcare Of California $8 98%
Medi-Cal $9 110%
Tricare $9 110%
Cigna $11 135%
Valley Care $11 - $14 135%
Aetna $12 - $56 147%
Medicaid / KanCare $13 - $19 159%
Gold Coast Health Plan $14 - $19 171%
Ventura County Health Care Plan $14 171%
Kaiser Commercial $29 355%
Blue Shield Epn $32 392%
Multiplan $33 404%
Health Net Commercial $34 416%
Blue Shield Commercial $36 441%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 147 North Brent Street, Ventura, CA 93003
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals