CMS Price Transparency Data

Blood test, liver function panel

Facility: Christus Santa Rosa Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $16
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Christus Santa Rosa Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.96x the Medicare baseline. Located in 11212 State Hwy 151, San Antonio, TX.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $94 (1151%)
Insurance Median: $16 (196%)
Cash: $94 (1151% of Medicare)
Ins. Median: $16 (196% 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
UnitedHealthcare $3 - $8 37%
Texas Healthspring $4 49%
Aetna $8 - $16 98%
Allwell $8 98%
Blue Cross Blue Shield $8 - $30 98%
Christus Health $8 - $11 98%
Community First $8 - $40 98%
Coventry $8 98%
Driscoll Children'S Health Plan $8 98%
El Paso First $8 98%
First Care $8 98%
Humana $8 - $22 98%
Molina $8 98%
Provider Partners Health Plan $8 98%
Superior $8 98%
Texas Independence Health Plan $8 98%
Triwest $8 98%
Wellcare $8 98%
Amerigroup $9 - $40 110%
Devoted Health Plan $9 110%
Imperial Health Plan $9 110%
Medicare (plans) $9 110%
Procare Advantage $9 110%
Shared Health Insurance Company $9 110%
Texas Childrens Health Plan $9 110%
Us Imaging Network $9 110%
Employer Direct $10 122%
Gilsbar Inc. $11 135%
Naphcare Inc. $16 196%
Cigna $32 - $41 392%
Community First Health Plan $105 - $145 1285%
Healthcare Highways $108 - $148 1322%
Christian Brothers Services $131 - $182 1603%
First Health $155 - $214 1897%
Healthsmart $155 - $264 1897%
Multiplan $155 - $214 1897%
Phcs $155 - $214 1897%
Five Point Credit Union $167 - $231 2044%
Medicus Internatiaonal $179 - $248 2191%
Beech Street $191 - $264 2338%
Health Management Network $191 - $264 2338%
Provider Select $191 - $264 2338%
National Choicecare $227 - $314 2778%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11212 State Hwy 151, San Antonio, TX 78251
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals