CMS Price Transparency Data

Blood test, liver function panel

Facility: Adventist Health Sierra Vista

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $11
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Adventist Health Sierra Vista is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.35x the Medicare baseline. Located in 1010 Murray St, San Luis Obispo, CA.
Cash / Self-Pay
$4

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: $4 (49%)
Insurance Median: $11 (135%)
Cash: $4 (49% 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
UnitedHealthcare $4 - $16 49%
Blue Shield Epo/Ppo-All Other Plans $7 86%
Nbd-Ntwrks By Design Non-Exclus $7 86%
Aetna $8 98%
Blue Shield Epn $8 98%
Cencal Mcr Adv - All Other Plans $8 98%
Tricare $8 98%
Cfmg-Ca Forensic Med Grp Op/Profee Only-All Plans $11 135%
Medi-Cal $12 147%
Ah Employee Health Plan - All Plans $15 184%
Blue Shield Hmo/Pos $15 184%
Blue Shield Promise Mcal $15 184%
Hpn-Heritage Prov Ntwrk-All Plans $16 196%
Coalinga-All Plans $26 318%
Ccah-Centrl Ca Allince Mcal-All Plans $39 477%
Cencal Mcal $54 661%
Nbd-Ntwrks By Design Exclus-All Other Plans $948 11603%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1010 Murray St, San Luis Obispo, CA 93405
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals