CMS Price Transparency Data

Blood test, liver function panel

Facility: Shriners Hospitals for Children Northern Calif

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Shriners Hospitals for Children Northern Calif is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 2425 Stockton Boulevard, Sacramento, CA.
Cash / Self-Pay
$77

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: $77 (942%)
Insurance Median: $9 (110%)
Cash: $77 (942% 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
Aetna $3 - $9 37%
Blue Cross Blue Shield $4 - $12 49%
Amerigroup Nv $5 61%
Ambetter / Centene $6 - $15 73%
Health Plan Of Nv $6 73%
Soonercare $7 86%
Amerigroup Tx $8 98%
Coventry Cares Ky $8 98%
Humana $8 98%
Medicaid / KanCare $8 98%
Molina Healthcare Of Ky $8 98%
Molina Healthcare Of Ms $8 98%
UnitedHealthcare $8 - $12 98%
Amerihealth Caritas Nc $9 - $15 110%
Amerihealth Caritas Sc $9 110%
Caresource Of Oh $9 110%
Central California Alliance For Health $9 110%
Cigna $9 110%
Gateway Health Plan $9 110%
Health Plan Of San Joaquin $9 110%
Kaiser Permanente $9 - $100 110%
Molina Healthcare Of Ca $9 110%
Partnership Healthplan Of Ca $9 110%
Providence Health Plan $9 110%
Caresource Of Ga $10 122%
Healthchoice Of Oklahoma $10 122%
Wellcare Of Ga $10 122%
Sana Benefits $11 135%
Dignity Health $536 6561%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2425 Stockton Boulevard, Sacramento, CA 95817
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens