CMS Price Transparency Data

Blood test, liver function panel

Facility: Hospital San Francisco

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $11
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Hospital San Francisco is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.35x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $49 (600%)
Insurance Median: $11 (135%)
Cash: $49 (600% of Medicare)
Ins. Median: $11 (135% 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
First Medical $8 - $15 98%
Mso $8 - $10 98%
Plan De Salud Menonita $8 - $13 98%
Aarp $9 110%
Pr Other Insurances $9 110%
Triple S $9 - $14 110%
Ch $10 122%
Fondo Del Seguro Estado $10 122%
Humana $10 - $17 122%
Mcs $10 - $14 122%
Medicare (plans) $10 122%
Mpc - Us $10 122%
Tricare $10 122%
UnitedHealthcare $10 122%
Us $10 122%
Comerciales $11 135%
Bl $13 159%
Corvel Network $14 171%
Mc $14 171%
Mpc-Pr Other Insurances $14 171%
Western Medical Hospice $16 196%
Acaa $17 208%
Cigna $17 208%
Medicaid / KanCare $17 208%
Prossam $17 208%
Va $29 355%
Mapfre $35 428%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals