CMS Price Transparency Data

Blood test, liver function panel

Facility: Casa Colina Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Casa Colina Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$11

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: $11 (135%)
Insurance Median: $9 (110%)
Cash: $11 (135% 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
Heritage Prvdr Ntwrk Mcal $7 86%
Prospect Hp Mcal $7 86%
UnitedHealthcare $7 - $8 86%
Aetna $8 - $18 98%
Blue Cross Blue Shield $8 - $29 98%
Blue Shield Mcr Adv $8 98%
Caremore Mcr Adv - All Plans $8 98%
Central Hlth Plan - All Plans $8 98%
Doctors Managed Op Only - All Plans $8 98%
Empire Healthcare Op Only - All Plans $8 98%
Epic Comm - All Other Plans $8 98%
Epic Mcr Adv $8 98%
Focus Healthcare Wc - All Plans $8 98%
Healthnet Mcr Adv $8 98%
Humana $8 - $25 98%
Iehp - All Other Plans $8 98%
Iehp Mcr Adv $8 98%
Kaiser Comm - All Other Plans $8 98%
Kaiser Mcr Adv $8 98%
Premiercare Op Only - All Plans $8 98%
Promed Hlth Ntwrk Op Only - All Plans $8 98%
Prospect Hp Mcr Adv $8 98%
Triwest - All Plans $8 98%
Wellcare Mcr Adv - All Plans $8 98%
Medi-Cal $9 110%
Prospect Hp Comm - All Other Plans $9 110%
Affiliated Hlth Funds - All Plans $10 122%
Kaiser Mcal $10 122%
Cigna $12 147%
Healthnet Comm - All Other Plans $20 245%
Heritage Prvdr Ntwrk Comm - All Other Plans $20 245%
Heritage Prvdr Ntwrk Mcr $20 245%
Iehp Mcal $23 282%
Corvel - All Plans $25 306%
Coventry - All Plans $25 306%
Multiplan - All Plans $25 306%
Three Rivers - All Plans $25 306%
Brand New Day Mcr Adv - All Plans $29 355%
Galaxy Provdr Ntwrk - All Plans $34 416%
Blue Shield Comm - All Other Plans $36 441%
Healthcare Partners - All Other Plans $39 477%
Healthcare Partners Mcr $39 477%
Primecare Comm - All Other Plans $39 477%
Primecare Mcr Adv $39 477%
Prospect Med Grp Alta - All Plans $42 514%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals