CMS Price Transparency Data

Blood test, liver function panel

Facility: Los Robles Hospital & Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $79
  • Cash Discount Price: $629
  • vs. Medicare Baseline: 9.67x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Los Robles Hospital & Medical Center is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $629. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 9.67x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.
Cash / Self-Pay
$629

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $629 (7699%)
Insurance Median: $79 (967%)
Cash: $629 (7699% of Medicare)
Ins. Median: $79 (967% 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 967% of the Medicare baseline (a markup of 867%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 - $1,202 98%
Alignment Health Plan $8 98%
Blue Cross Blue Shield $8 - $42 98%
Blue Shield $8 - $173 98%
Brand New Day $8 - $9 98%
Care1St Health Plan $8 98%
Central Health Plan $8 98%
Clever Care Of Golden State $8 98%
Easy Choice Health Plan $8 98%
Facey Medical Group $8 - $11 98%
Humana $8 98%
La Care $8 98%
Scan Health Plan $8 98%
Triwest Healthcare Alliance $8 98%
United $8 - $338 98%
Gold Coast Health Plan $9 110%
Health Net $9 - $489 110%
Corvel Corporation $10 122%
Ventura County Foundation $10 - $1,082 122%
Medcare Partners $13 - $180 159%
Bright Health $20 245%
Cigna $29 355%
First Health $60 - $962 734%
Choicecare Network $62 - $841 759%
Multiplan $71 - $1,142 869%
Ppo Next $71 - $962 869%
Interplan Corporation $80 - $1,082 979%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 215 W Janss Rd, Thousand Oaks, CA 91360
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals