CMS Price Transparency Data

Blood test, liver function panel

Facility: UCSF Health St. Mary's Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $482
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at UCSF Health St. Mary's Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $482. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 450 Stanyan St, San Francisco, CA.
Cash / Self-Pay
$482

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $482 (5900%)
Insurance Median: $9 (110%)
Cash: $482 (5900% of Medicare)
Ins. Median: $9 (110% 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 - $46 98%
Blue Cross Blue Shield $8 - $209 98%
Blue Shield Ca $8 - $227 98%
Brown Toland $8 98%
Chinese Community $8 - $182 98%
Connected Care $8 98%
Health Net $8 - $13 98%
Health Plan San Mateo $8 - $9 98%
Humana $8 98%
Kaiser $8 - $213 98%
Mhn $8 98%
United $8 - $10 98%
California Health & Wellness $9 110%
Partnership Health Plan $9 110%
Sfhp $9 110%
Kentfield $24 294%
Oscar $27 330%
Cigna $36 - $38 441%
Magellan $168 - $410 2056%
Healthsmart $196 - $478 2399%
Multiplan $232 - $567 2840%
Us Behavioral Health $280 3427%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals