CMS Price Transparency Data

Blood test, liver function panel

Facility: West Valley Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $98
  • Cash Discount Price: $265
  • vs. Medicare Baseline: 12.00x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at West Valley Medical Center is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $265. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 12.00x the Medicare baseline. Located in 1717 Arlington Street, Caldwell, ID.
Cash / Self-Pay
$265

Average discount available for prompt cash payment at this facility.

Insurance Median
$98

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: $265 (3244%)
Insurance Median: $98 (1200%)
Cash: $265 (3244% of Medicare)
Ins. Median: $98 (1200% 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 1200% of the Medicare baseline (a markup of 1100%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 Cross Blue Shield $7 - $858 86%
Molina $7 - $8 86%
Humana $8 - $223 98%
Regence Blue Shield $8 98%
St Luke'S Health Partners $8 98%
United $8 - $158 98%
Veteran'S Administration $8 98%
Regence $17 208%
Select Health Idaho (Eirmc Only) $84 1028%
Corizon Health $98 1200%
True Blue $105 1285%
Cigna $148 1812%
Pacificsource Health $158 1934%
Moda $165 2020%
Aetna $210 2570%
Four Rivers Hospice $212 2595%
Multiplan $212 2595%
Geha Ppo Usa $225 2754%
Coventry First Health $238 2913%
St Alphonsus Health $238 2913%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1717 Arlington Street, Caldwell, ID 83605
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals