CMS Price Transparency Data

Blood test, liver function panel

Facility: Adventist Health Delano

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $3
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Adventist Health Delano is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.
Cash / Self-Pay
$3

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: $3 (37%)
Insurance Median: $9 (110%)
Cash: $3 (37% 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
Blue Cross Blue Shield $2 - $225 24%
Blue Shield Epn - All Other Plans $2 - $59 24%
Blue Shield Non-Epn $7 - $176 86%
Coventry- All Plans $7 - $162 86%
Bakersfield Fam Med Grp-All Plans $8 98%
County Of Kern Network - All Plans $8 - $189 98%
Gem Care- All Plans $8 - $189 98%
Healthnet Mcr Adv $8 98%
Healthnet- All Other Plans $8 - $182 98%
Kern Mcr Adv Dual Dnsp-All Other Plans $8 98%
Medicare (plans) $8 - $13 98%
Tricare $8 98%
UnitedHealthcare $8 - $194 98%
Universal Care Mcr- All Other Plans $8 98%
Cigna $9 - $216 110%
Dignty Hlth Mcal Op Only $9 110%
Foundation For Medical Care Of Kern County - All P $9 - $202 110%
Kaiser Medi-Cal Ip/Op Only $9 110%
Medi-Cal $9 110%
Universal Care Mcal $9 110%
Western Growers - All Plans $9 - $219 110%
Healthnet Medi-Cal $11 135%
Kern Health System Mcal $11 - $12 135%
Kaiser Comm Ip/Op Only- All Other Plans $14 171%
Ah Employee Health Plan - All Plans $15 184%
Centivo - All Plans $18 220%
Aetna $54 661%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 Garces Highway, Delano, CA 93215
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals