CMS Price Transparency Data

Blood test, liver function panel

Facility: Chinese Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $36
Cash Discount Price: $249
vs. Medicare Baseline: 4.41x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Chinese Hospital is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $249. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 4.41x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.

Cash / Self-Pay

$249

Average discount available for prompt cash payment at this facility.

Insurance Median

$36

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: $249 (3048%)

Insurance Median: $36 (441%)

Cash: $249 (3048% of Medicare)

Ins. Median: $36 (441% 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 441% of the Medicare baseline (a markup of 341%). 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
Aetna	$8 - $42	98%
Blue Cross Blue Shield	$8 - $31	98%
Cchp Mcr Adv	$8	98%
Jade Mcr Adv	$8	98%
Jade-All Other Plans	$9	110%
Medi-Cal	$9	110%
On Lok Mcr Adv-All Plans	$9	110%
San Francisco Health Plan- All Plans	$9	110%
Hp Of San Mateo Medi-Cal	$11	135%
Blue Shield Medi-Cal	$12	147%
Hp Of San Mateo Health Kids/Health Worx-All Other	$12	147%
Asian Medical Group Medi-Cal Op Only	$13	159%
Jade Medi-Cal	$16	196%
Health Net-All Plans	$64 - $200	783%
Cigna	$67 - $207	820%
Cchp-All Other Plans	$103 - $320	1261%
Hp Of San Mateo Mcr Adv	$109 - $339	1334%
Asian Medical Group Mcare Op Only-All Other Plans	$121 - $377	1481%
Bay Area Accountable Care Mcare	$121 - $377	1481%
Bay Area Accountable Care - All Other Plans	$218 - $679	2668%
Blue Shield - All Other Plans	$261	3195%

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 $249.
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 Chinese Hospital 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.