CMS Price Transparency Data

Blood test, liver function panel

Facility: Montclair Hospital Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Montclair Hospital Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 5000 San Bernardino Road, Montclair, CA.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $8 (98%)
Insurance Median: $8 (98%)
Cash: $8 (98% of Medicare)
Ins. Median: $8 (98% 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 Shield Of Promise $7 86%
Molina $7 - $8 86%
Traditional Medi-Cal $7 86%
Vantage Care $7 - $8 86%
Alignment $8 98%
Brand New Day $8 - $12 98%
Central Health Plan $8 98%
Choice Physicians Network $8 98%
Citrus Valley Physicians Group $8 98%
Elite Health Plan $8 98%
Emanate Health $8 - $16 98%
Epic Health Plan $8 98%
Health Net Of Ca $8 - $12 98%
Inland Empire Foundation For Medical Care $8 98%
Inland Empire Healthplan $8 - $11 98%
Medicare (plans) $8 98%
Neighborhood $8 98%
Renal Payor Solution $8 98%
Rios $8 98%
Tricare $8 98%
Imperial Health Plan Of Ca $9 110%
Coventry Workers Compensation $10 122%
Health Net Federal Services Prison (Cdcr) $10 122%
Blue Cross Blue Shield $11 135%
Employer Direct Health Care $11 135%
Worker Compensation $11 135%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5000 San Bernardino Road, Montclair, CA 91763
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals