CMS Price Transparency Data

Blood test, liver function panel

Facility: OHSU Hospital and Clinics

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $10
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at OHSU Hospital and Clinics is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.22x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.
Cash / Self-Pay
$34

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $34 (416%)
Insurance Median: $10 (122%)
Cash: $34 (416% of Medicare)
Ins. Median: $10 (122% 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
Care Oregon $7 - $10 86%
Intercommunity Health Network $7 86%
Kaiser Foundation Hospitals $7 - $19 86%
Medicare (plans) $7 - $13 86%
Pacific Source $7 - $32 86%
Humana $8 - $9 98%
Trillium $8 98%
Aetna $9 - $36 110%
Health Net Health Plan Of Oregon, Inc. $9 - $40 110%
Moda $9 - $32 110%
Samaritan Health Plan $9 - $20 110%
UnitedHealthcare $9 - $15 110%
Community Health Plan Of Washington $10 - $11 122%
Providence Health Plan $10 - $25 122%
Cigna $24 294%
Blue Cross Blue Shield $28 343%
Tuality Health $34 416%
Coventry First Health $39 477%
First Choice $39 477%
Molina Exchange $52 636%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3181 Sw Sam Jackson Park Road, Portland, OR 97239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals