CMS Price Transparency Data

Blood test, liver function panel

Facility: Adventist Health Tehachapi Valley

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $36
Cash Discount Price: $35
vs. Medicare Baseline: 4.41x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Adventist Health Tehachapi Valley is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 4.41x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$35

Average discount available for prompt cash payment at this facility.

Insurance Median

$36

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: $35 (428%)

Insurance Median: $36 (441%)

Cash: $35 (428% of Medicare)

Ins. Median: $36 (441% 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 441% of the Medicare baseline (a markup of 341%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$1 - $103	12%
Healthnet Mcare	$2 - $40	24%
Medicare (plans)	$2 - $40	24%
Tricare	$2 - $40	24%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$2 - $40	24%
Network Providers- All Plans	$3 - $51	37%
Kaiser Ip/Op Only- All Other Plans	$4 - $69	49%
Blue Shield Epn- All Other Plans	$5 - $89	61%
Centivo - All Plans	$5 - $90	61%
Western Grwrs/Pinnacle - All Plans	$5 - $88	61%
Blue Shield Non-Epn	$6 - $105	73%
Klhp-Kern Legacy Epo -All Other Plans	$6 - $105	73%
Ah Employee Health Plan - All Plans	$7 - $111	86%
Blue Cross Blue Shield	$7 - $121	86%
Bc Mcal	$9	110%
Kaiser Medi-Cal Ip/Op Only	$9	110%
Medi-Cal	$9	110%
Universal Ipa Mcal Op/Profee Only	$9	110%
Cigna	$10 - $164	122%
Healthnet- All Other Plans	$10 - $162	122%
Coventry- All Plans	$11 - $189	135%
Healthnet Medi-Cal	$11	135%
Khs-Kern Hlth Systm Mcal	$12	147%
Oscar Health Plan- All Plans	$13	159%
Aetna	$48	588%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $35.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Tehachapi Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.