CMS Price Transparency Data

Blood test, liver function panel

Facility: Hillsboro Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Hillsboro Medical Center is $9. 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 1.10x the Medicare baseline. Located in 335 Se 8Th Avenue, Hillsboro, OR.
Cash / Self-Pay
$34

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: $34 (416%)
Insurance Median: $9 (110%)
Cash: $34 (416% 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
Care Oregon $6 - $10 73%
Intercommunity Health Network $6 73%
Medicare (plans) $6 - $10 73%
Kaiser Foundation Hospitals $7 - $24 86%
Pacific Source $7 - $18 86%
Community Health Plan Of Washington $8 - $52 98%
Humana $8 - $9 98%
Providence Health Plan $8 - $13 98%
Samaritan Health Plan $8 98%
Trillium $8 98%
Aetna $9 - $23 110%
Health Net Health Plan Of Oregon, Inc. $9 - $34 110%
Moda $9 - $29 110%
UnitedHealthcare $9 - $13 110%
Cigna $22 269%
Blue Cross Blue Shield $26 318%
Tuality Health $34 416%
First Choice $42 514%
Coventry First Health $44 539%
Molina Exchange $52 636%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 335 Se 8Th Avenue, Hillsboro, OR 97123
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals