CMS Price Transparency Data
Blood test, liver function panel
Facility: Whittier Hospital Medical Center
Billing Code: 80076 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80076
- Insurance Median: $11
- Cash Discount Price: $23
- vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Whittier Hospital Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.35x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$23
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: $23 (282%)
Insurance Median: $11 (135%)
Cash: $23 (282% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Physician Healthways | $2 - $47 | 24% |
| Physicians Healthways Medical Corporation | $5 - $118 | 61% |
| Ahmc Medi-Cal Reciprocity Agreement | $6 | 73% |
| Ahmc Reciprocity | $6 - $142 | 73% |
| Ahmc Reciprocity Agreement Senior/Commercial | $6 - $142 | 73% |
| Aids Healthcare Foundation | $6 - $8 | 73% |
| Allied Physicians | $6 - $12 | 73% |
| Alta Med Health Network | $6 - $8 | 73% |
| Altamed Health Services Corporation | $6 | 73% |
| Beverly Hospital | $6 - $9 | 73% |
| Brand New Day | $6 - $10 | 73% |
| Emanate Health | $6 - $10 | 73% |
| Health Net | $6 - $283 | 73% |
| Healthy Way La | $6 | 73% |
| Heritage Provider Network | $6 - $11 | 73% |
| Kaiser Foundation | $6 - $331 | 73% |
| La Care Healthy Families/Healthy Kids | $6 | 73% |
| Non Contracted Medi-Cal | $6 | 73% |
| Pacific Independent Physician Association | $6 - $142 | 73% |
| Prospect Health Plan | $6 - $13 | 73% |
| Synermed | $6 - $8 | 73% |
| Veterans Administration | $6 | 73% |
| Wear And Wood | $6 - $189 | 73% |
| Blue Cross Blue Shield | $7 - $236 | 86% |
| Edward Medical Group | $7 - $166 | 86% |
| La Care Health Plan | $7 - $260 | 86% |
| Molina Medical Center | $7 - $184 | 86% |
| Aetna | $8 - $344 | 98% |
| Alignment Health Plan | $8 | 98% |
| Alta Los Angeles Hospitals Inc | $8 | 98% |
| Apa/Aco Inc | $8 | 98% |
| Avanti | $8 - $10 | 98% |
| Blue Shield Of California | $8 - $236 | 98% |
| Caloptima | $8 - $9 | 98% |
| Care First Health Plan | $8 | 98% |
| Caremore | $8 | 98% |
| Central Health Plan | $8 | 98% |
| Central Health Plan Of California | $8 - $189 | 98% |
| County Of Los Angeles Dept Of Health Services | $8 | 98% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $8 | 98% |
| Easy Choice Health Plan | $8 | 98% |
| Hollywood Presbyterian Adv Med Mcal | $8 | 98% |
| Hollywood Presbyterian Medpoint Mcal | $8 | 98% |
| Humana | $8 | 98% |
| La Care Covered Direct | $8 | 98% |
| Medi Caid/ Medi Cal | $8 | 98% |
| Medicare (plans) | $8 | 98% |
| Molina Healthcare Of California | $8 | 98% |
| Pacific Alliance Medical Center | $8 | 98% |
| Pacificare Of California | $8 | 98% |
| Private Pay | $8 | 98% |
| Scan Health Plan | $8 | 98% |
| Self-Pay | $8 | 98% |
| Allied Physicians Ipa | $9 - $213 | 110% |
| Cigna | $9 | 110% |
| Fmc Los Angeles County | $9 - $355 | 110% |
| Monarch Healthplan | $9 | 110% |
| San Miguel Health Plan | $9 | 110% |
| Tricare | $9 | 110% |
| UnitedHealthcare | $9 - $457 | 110% |
| Ahmc Health | $10 | 122% |
| Applecare Medical Group | $10 | 122% |
| Athens Administrators Ahmc Work Comp | $10 | 122% |
| Chinatown Service Center Pace | $10 | 122% |
| Interplan Health Group | $10 | 122% |
| Knox-Keene Act | $10 | 122% |
| Misc 1 | $10 | 122% |
| Multiplan Wc | $10 | 122% |
| Prospect Medical | $10 - $260 | 122% |
| Care 1St Health Plan | $11 - $284 | 135% |
| New Horizon Medical Group Inc | $11 - $284 | 135% |
| Cost Containment | $12 - $307 | 147% |
| Davita Healthcare Partners | $12 - $307 | 147% |
| Health Net Inc | $12 - $307 | 147% |
| Universal Care | $12 - $331 | 147% |
| Asi/Flex | $13 - $331 | 159% |
| Healthnet | $13 - $328 | 159% |
| Us Comp Care | $13 - $331 | 159% |
| Value Healthplan Of California | $13 - $331 | 159% |
| Community Care Network | $14 - $355 | 171% |
| Coventry Health Care | $14 - $355 | 171% |
| Coventry Health Care National Network | $14 - $355 | 171% |
| Interplan Corporation | $14 - $355 | 171% |
| Managed Care Administrators | $14 - $355 | 171% |
| Prohealth | $14 - $355 | 171% |
| Multiplan | $16 - $402 | 196% |
| Capnet | $19 | 233% |
| Commercial Non Contract | $19 - $473 | 233% |
| Medi-Cal Sub Acute | $19 - $473 | 233% |
| One Legacy | $19 - $473 | 233% |
| Great-West Healthcare Of California | $2,500 | 30600% |